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Organization

TETON COUNTY HOSPITAL DISTRICT

Active
Other names
St John's Medical Center/ or St John's Health, St. John's Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
MITCHELL WATSON (CFO)
(307) 739-7526
Entity
Organization

Contact information

Practice address
625 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 733-3636
(877) 205-2024
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 733-3636
(877) 205-2024

Taxonomy

Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
15109
WY
282N00000X
General Acute Care Hospital
Primary
15109
WY
347C00000X
Private Vehicle

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106299900
WY
05
106299904
WY
05
106299917
WY
Enumeration date
06/06/2006
Last updated
11/25/2025
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