St. John'S Medical Center
LBN: Teton County Hospital District
St. John'S Medical Center is an health care organization with primary practice located at 625 E Broadway Ave , Jackson WY 83001-8642. The organization recently has 3 registered licenses in different health care specialties including Hospital Units / Medicare Defined Swing Bed Unit, Hospitals / General Acute Care Hospital, Transportation Services / Private Vehicle. Hospitals / General Acute Care Hospital is the primary health care specialty.
Teton County Hospital District can be contacted via phone (307) 733-3636, or through Kren, John J. via phone (307) 739-7526.
Contact Information
Primary practice address
625 E Broadway Ave
Jackson WY 83001-8642
Phone: (307) 733-3636
Fax: (877) 205-2024
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Hospital Units / Medicare Defined Swing Bed Unit | 275N00000X | 15109 | Wyoming |
Hospitals / General Acute Care Hospital | 282N00000X | 15109 | Wyoming |
Transportation Services / Private Vehicle | 347C00000X |
Profile Details
NPI number | 1801835475 |
---|---|
LBN Legal business name | Teton County Hospital District |
DBA Doing business as | St. John'S Medical Center |
Authorized official | Kren, John J. |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 6th, 2006 |
Last updated | Oct 14th, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801835475 | NPPES |
Wyoming | MEDICAID | 106299900 | |
Wyoming | MEDICAID | 106299904 | |
Wyoming | MEDICAID | 106299917 |
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