Teton Valley Hospital (Physician'S Group)

LBN: Teton Valley Hospital & Surgicenter
Teton Valley Hospital (Physician'S Group) is an health care organization with primary practice located at 120 East Howard Avenue , Driggs ID 83422-5112. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Teton Valley Hospital & Surgicenter can be contacted via phone (208) 354-2383, or through Piquet, Laura C. via phone (208) 354-6302.

Contact Information

Primary practice address
120 East Howard Avenue Driggs ID 83422-5112
Phone: (208) 354-2383
Fax: (208) 354-3158
Website:
Map and Directions
Authorized official contact:
Name: Piquet, Laura C.
Phone: (208) 354-6302

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 31 Idaho

Profile Details

NPI number 1962664029
LBN Legal business name Teton Valley Hospital & Surgicenter
DBA Doing business as Teton Valley Hospital (Physician'S Group)
Authorized official Piquet, Laura C.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2008
Last updated Dec 1st, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962664029 NPPES
Idaho MEDICAID 002279600
Idaho Other 13Z313

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