TETON VALLEY HEALTH CARE, INC


Address: 83 N Main St, Victor, ID 83455-0368
Phone: 2083546307

TETON VALLEY HEALTH CARE, INC (NPI# 1801143029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801143029
Entity Type Organization
Organization Name TETON VALLEY HEALTH CARE, INC
Other Organization Name VICTOR CLINIC
Practice Address 83 N Main St
Victor
ID 83455-0368
Mailing Address 120 E Howard St
Driggs
ID 83422-5112
Practice Telephone 2083546307
Practice Fax Number 2087877456
Mailing Telephone 2083546302
Mailing Fax Number 2083543158
Enumeration Date 2012-08-07
Last Update Date 2020-02-20
Authorized Official Name JILL PAYNE PAYNE (CHIEF OF COMPLIANCE)
Authorized Official Telephone 2083546352
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207LP2900X Anesthesiology
Specialization: Pain Medicine
ID Allopathic & Osteopathic Physicians
N 363LP0200X Nurse Practitioner
Specialization: Pediatrics
ID Physician Assistants & Advanced Practice Nursing Providers
N 207Q00000X Family Medicine ID Allopathic & Osteopathic Physicians
N 207X00000X Orthopaedic Surgery ID Allopathic & Osteopathic Physicians
N 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
ID Allopathic & Osteopathic Physicians
N 208000000X Pediatrics ID Allopathic & Osteopathic Physicians
N 208600000X Surgery 31 ID Allopathic & Osteopathic Physicians
N 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
31 ID Allopathic & Osteopathic Physicians
N 363AM0700X Physician Assistant
Specialization: Medical
ID Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner ID Physician Assistants & Advanced Practice Nursing Providers
Y 261QR1300X Clinic/Center
Specialization: Rural Health
31 ID Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Victor Clinic Doing Business As Name - Organization
Victor Health Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1053669598 Teton Valley Health Care, Inc General Acute Care Hospital 120 E Howard Avenue, Driggs, ID 83422-5112 2012-08-15

Office Location

Street Address 83 N MAIN ST
City VICTOR
State ID
Zip Code 83455-0368

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376050385 Hunters Inc Pharmacy 81 N. Main St., Victor, ID 83455 2017-12-29
1194109306 Emily Williams Occupational Therapist 73 N Main Street, Victor, ID 83455 2015-07-17
1073918173 Teton Valley Vision PC Optometrist 7389 S Hwy 33, Ste B, Victor, ID 83455 2014-10-31
1437440591 Nathan Richard George Dentist 7726 Lupine Lane, Victor, ID 83455 2011-04-25
1245537695 Erin N Borbet Acupuncturist 108 W Center St Unit 3, Victor, ID 83455 2011-02-22
1336457837 Grand Teton Dental Care Clinic/Center 741 South 50 West, Suite A, Victor, ID 83455 2010-09-17
1598086126 Childs Play, LLC Speech-Language Pathologist 73 North Main, Victor, ID 83455 2010-06-17
1891025656 Phillips Therapy Incorporated Occupational Therapist 73 North Main St., Suite 3, Victor, ID 83455 2009-12-30
1861621278 Elmer Raymond Cherry Iv Dentist 7389 S. Hwy. 33 Suite A, Victor, ID 83455 2009-07-07
1861534133 Amy Herzog Counselor 175 Brome Dr., #7, Victor, ID 83455 2007-02-13
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962949982 Marcus Daly Memorial Hospital Corporation Clinic/Center 2386 Us Highway 93 N, Victor, MT 59875 2017-01-28

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NPI Name Taxonomy Address Enumeration
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1568950566 North Canyon Medical Center, Inc. Clinic/Center 718 Hwy 30, Buhl, ID 83316 2018-04-25
1518377019 North Canyon Medical Center, Inc. Clinic/Center 267 N. Canyon Drive, Gooding, ID 83330 2014-05-06
1700206588 Mvh Bmc LLC Clinic/Center 210 S Emerson Ave, Shelley, ID 83274-1229 2014-04-21
1922243088 Bmh Inc Clinic/Center 1355 Parkway Dr, Blackfoot, ID 83221-1656 2008-12-03
1023271731 Upper Valley Family Medicine Rhc Clinic/Center 530 Rigby Lake Dr, Rigby, ID 83442-1271 2008-07-03
1891984167 Bmh Inc Clinic/Center 1425 Parkway Drive, Blackfoot, ID 83221-1758 2007-10-23
1043387426 Minidoka Memorial Hospital Clinic/Center 1308 8th St, Suite 1, Rupert, ID 83350-1530 2006-11-29
1356438816 Gritman Medical Center Inc Clinic/Center 156 6th St, Potlatch, ID 83855 2006-10-06
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Competitor

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City VICTOR
Zip Code 83455

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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