TETON COUNTY HOSPITAL DISTRICT (NPI# 1801929997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801929997 |
| Entity Type | Organization |
| Organization Name | TETON COUNTY HOSPITAL DISTRICT |
| Other Organization Name | ST. JOHN'S MEDICAL CENTER |
| Practice Address |
625 E Broadway Jackson WY 83001-0428 |
| Mailing Address |
Po Box 428 Jackson WY 83001-0428 |
| Practice Telephone | 3077333636 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEVEN POOLE (PROVIDER RELATIONS) |
| Authorized Official Telephone | 3077397673 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 07109 | WY | Hospital Units |
| Other Name | Type Code |
|---|---|
| St. John's Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952823783 | Teton County Hospital District | Pharmacy | 555 E Broadway Ave Ste 212, Jackson, WY 83001-8640 | 2017-07-13 |
| 1457665333 | Teton County Hospital District | General Practice | Box 428 625 E Broadway Ave, Jackson, WY 83001-8642 | 2010-08-03 |
| 1679859797 | Teton County Hospital District | General Practice | 852 Valley Centre Dr, Driggs, ID 83422-5005 | 2011-11-03 |
| 1821317595 | Teton County Hospital District | Emergency Medicine | 625 E Broadway Ave, Jackson Hole, WY 83001-8642 | 2010-05-20 |
| 1487818605 | Teton County Hospital District | General Practice | 625 E Broadway Ave, Jackson, WY 83001-8642 | 2008-07-16 |
| 1881896694 | Teton County Hospital District | General Acute Care Hospital | 625 East Broadway, Jackson, WY 83001 | 2007-06-04 |
| 1215064985 | Teton County Hospital District | Skilled Nursing Facility | 625 East Broadway, Jackson, WY 83001-8642 | 2007-02-28 |
| 1972657179 | Teton County Hospital District | Pharmacy | 625 E Broadway Ave, Jackson, WY 83001-8642 | 2007-01-23 |
| 1194744235 | Teton County Hospital District | Case Management | 555 E Broadway Ave, Ste 115, Jackson, WY 83001-8640 | 2006-07-19 |
| 1568493989 | Teton County Hospital District | Hospice Care, Community Based | 555 E Broadway Ave, Suite #115, Jackson, WY 83001-8640 | 2006-07-05 |
| Street Address |
625 E BROADWAY |
| City | JACKSON |
| State | WY |
| Zip Code | 83001-0428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851350292 | David J Tomlinson | Anesthesiology | 625 E Broadway, Jackson, WY 83002 | 2006-03-23 |
| 1841596806 | A Francine Tryka Md PC | Clinical Medical Laboratory | 625 E Broadway, Jackson, WY 83001 | 2011-02-08 |
| 1396979159 | Ihc Health Services Inc | Clinic/Center | 625 E Broadway, Jackson, WY 83001-0000 | 2009-05-08 |
| 1275689853 | Karen Maureen Blum | Registered Nurse | 625 E Broadway, Jackson, WY 83001 | 2007-01-26 |
| 1942352950 | Anna Francine Tryka | Pathology | 625 E Broadway, Jackson, WY 83001 | 2007-01-18 |
| 1578633988 | Western Wyoming Pathology, Inc | Clinical Medical Laboratory | 625 E Broadway, Jackson, WY 83001 | 2006-11-09 |
| 1154490233 | Teton Mri | Clinic/Center | 625 E Broadway, Jackson, WY 83001 | 2006-11-06 |
| 1003922360 | William R Smith | Emergency Medicine | 625 E Broadway, Jackson, WY 83001 | 2006-08-21 |
| 1821103268 | Marc F Domsky | Anesthesiology | 625 E Broadway, Jackson, WY 83001 | 2006-08-19 |
| 1669586632 | Jackson Hole Medical Imaging, PC | Radiology | 625 E Broadway, St Johns Medical Center-dept of Radiology, Jackson, WY 83001-9496 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295985596 | Jackson Hospital Corporation | Medicare Defined Swing Bed Unit | 540 Jett Dr, Jackson, KY 41339-9622 | 2008-09-23 |
| 1558487397 | Jackson Medical Center, LLC | Medicare Defined Swing Bed Unit | 220 Hospital Dr, Jackson, AL 36545-2459 | 2007-03-22 |
| 1437252913 | Gilliard Health Services | Medicare Defined Swing Bed Unit | 220 Hospital Dr, Jackson, AL 36545-2459 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730132523 | North Lincoln County Hospital District | Medicare Defined Swing Bed Unit | 901 Adams, Afton, WY 83110-9621 | 2006-05-19 |
| 1891006839 | Memorial Hospital of Carbon County | Medicare Defined Swing Bed Unit | 2221 Elm St, Rawlins, WY 82301-5108 | 2010-06-24 |
| 1881834927 | South Lincoln Hospital District | Medicare Defined Swing Bed Unit | 711 Onyx St, Kemmerer, WY 83101-3214 | 2009-03-03 |
| 1134364888 | South Big Horn County Hospital District | Medicare Defined Swing Bed Unit | 388 Us Highway 20 S, Basin, WY 82410-8902 | 2008-12-10 |
| 1184753261 | Memorial Hospital of Sheridan County | Medicare Defined Swing Bed Unit | 1401 W 5th St, Sheridan, WY 82801-2705 | 2007-03-05 |
| 1356493068 | Community Hospital | Medicare Defined Swing Bed Unit | 2000 Campbell Dr, Torrington, WY 82240-1528 | 2007-01-16 |
| 1457403073 | Platte County Memorial Hospital | Medicare Defined Swing Bed Unit | 201 14th St, Wheatland, WY 82201-3201 | 2007-01-16 |
| 1366594988 | Washakie Medical Center | Medicare Defined Swing Bed Unit | 400 S 15th St, Worland, WY 82401-3531 | 2007-01-16 |
| 1780745885 | Powell Valley Health Care Inc | Medicare Defined Swing Bed Unit | 777 Avenue H, Powell, WY 82435-2260 | 2006-12-12 |
| 1407914286 | Hot Springs County Hospital District | Medicare Defined Swing Bed Unit | 150 E Arapahoe St, Thermopolis, WY 82443-2402 | 2006-12-05 |
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| 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.