Organization
TETON VALLEY HOSPITAL & SURGICENTER
Active
Other names
Teton Valley Hospital (Physician's Group)
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA C. PIQUET (OPERATION MANAGER)
(208) 354-6302
Entity
Organization
Contact information
Practice address
120 EAST HOWARD AVENUE, DRIGGS, ID 83422-5112
(208) 354-2383
(208) 354-3158
Mailing address
120 EAST HOWARD AVENUE, DRIGGS, ID 83422-5112
(208) 354-2383
(208) 354-3158
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
31
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002279600
—
ID
01
—
13Z313
MEDICARE SWING BED
ID
Enumeration date
06/30/2008
Last updated
12/01/2010
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