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Organization

TETON COUNTY HOSPITAL DISTRICT

Active
Other names
St Johns Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KELLY S CLASEN (DIRECTOR OF REVENUE CYCLE)
(307) 739-7559
Entity
Organization

Contact information

Practice address
625 EAST BROADWAY, JACKSON, WY 83001
(307) 733-3636
(307) 739-7522
Mailing address
PO BOX 428, JACKSON, WY 83001
(307) 733-3636
(307) 739-7522

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
07109
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106299904
WY
Enumeration date
06/04/2007
Last updated
06/06/2008
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