TETON VALLEY HOSPITAL & SURGICENTER (NPI# 1962664029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962664029 |
| Entity Type | Organization |
| Organization Name | TETON VALLEY HOSPITAL & SURGICENTER |
| Other Organization Name | TETON VALLEY HOSPITAL (PHYSICIAN'S GROUP) |
| Practice Address |
120 East Howard Avenue Driggs ID 83422-5112 |
| Practice Telephone | 2083542383 |
| Practice Fax Number | 2083543158 |
| Mailing Telephone | 2083542383 |
| Mailing Fax Number | 2083543158 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2010-12-01 |
| Authorized Official Name | MRS. LAURA C. PIQUET (OPERATION MANAGER) |
| Authorized Official Telephone | 2083546302 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
31 | ID | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | MEDICARE SWING BED | 13Z313 | 01 |
| ID | 002279600 | 05 |
| Other Name | Type Code |
|---|---|
| Teton Valley Hospital (Physician's Group) | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689695207 | Teton Valley Hospital & Surgicenter | Hospice Care, Community Based | 345 N 1st E, Driggs, ID 83422-5162 | 2006-07-21 |
| 1780625632 | Teton Valley Hospital & Surgicenter | Orthopaedic Surgery | 283 N 1st Street, Driggs, ID 83422-5112 | 2006-06-10 |
| 1710959184 | Teton Valley Hospital & Surgicenter | General Acute Care Hospital | 120 East Howard Avenue, Driggs, ID 83422-5112 | 2006-02-01 |
| 1770504391 | Teton Valley Hospital & Surgicenter | Home Health | 120 E Howard St, Driggs, ID 83422-5112 | 2006-07-21 |
| Street Address |
120 EAST HOWARD AVENUE |
| City | DRIGGS |
| State | ID |
| Zip Code | 83422-5112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710959184 | Teton Valley Hospital & Surgicenter | General Acute Care Hospital | 120 East Howard Avenue, Driggs, ID 83422-5112 | 2006-02-01 |
| 1457794083 | Michael Ray Haskell | Physician Assistant | 120 East Howard Avenue, Teton Valley Health Care, Driggs, ID 83422-5112 | 2013-04-13 |
| 1578848487 | Duane Bruce Mortenson | Physician Assistant | 120 East Howard Avenue, Teton Valley Health Care, Driggs, ID 83422-5112 | 2011-10-12 |
| 1184863219 | Taylor Keller Nelson | Nurse Anesthetist, Certified Registered | 120 East Howard Avenue, Teton Valley Health Care, Driggs, ID 83422-5112 | 2009-02-12 |
| 1447455217 | Anne Marie Omalley-neuhaus | Emergency Medicine | 120 East Howard Avenue, Teton Valley Health Care, Driggs, ID 83422-5112 | 2007-06-20 |
| 1124190855 | Maurice D Brown | Orthopaedic Surgery | 120 East Howard Avenue, Teton Valley Health Care, Driggs, ID 83422-5112 | 2006-11-15 |
| 1356425946 | Nathan B Levanger | Family Medicine | 120 East Howard Avenue, Teton Valley Health Care, Driggs, ID 83422-5112 | 2006-10-24 |
| 1821031998 | David A Saurman | Physician Assistant | 120 East Howard Avenue, Teton Valley Health Care, Driggs, ID 83422-5112 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310278 | Lance Ole Einerson | Physical Therapist | 440 North Main Street, Driggs, ID 83422 | 2019-08-08 |
| 1093205684 | Jennifer Lynn Mccrillis | Counselor | 1300 Arrowhead Plaza, Driggs, ID 83422 | 2018-05-18 |
| 1730636358 | Tkj, LLC | Health Educator | 1251 Arrowhead Plaza Way, Driggs, ID 83422 | 2016-09-01 |
| 1790136091 | Teton County Fire Protection Dist | Ambulance | 911 North Hwy 33, Driggs, ID 83422 | 2016-06-28 |
| 1922458942 | Candace Dayton | Social Worker | 620 Centenial Mountain Drive, Ste 12, Driggs, ID 83422 | 2016-06-21 |
| 1881092955 | Rebecca A. Park | Massage Therapist | 500 E Ski Hill Rd, Driggs, ID 83422 | 2014-12-05 |
| 1902211089 | Anna Rhea Hirnyck | Physical Therapist | 500 E Ski Hill, Drigga, ID 83422 | 2014-06-26 |
| 1982018867 | Ruby Isaly | Speech-Language Pathologist | 560 E Howard Avenue, Driggs, ID 83422 | 2014-06-18 |
| 1043633712 | Neerings Dental Inc, Dba Teton Valley Dental Center | Dentist | 235 Wallace Ave, Driggs, ID 83422 | 2014-01-30 |
| 1205261583 | Sara Helen Mckeown White | Counselor | 1300 Arrowhead Plaza Way, Driggs, ID 83422 | 2013-09-05 |
| Find all providers in zip 83422 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| 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 |
| 1710959184 | Teton Valley Hospital & Surgicenter | General Acute Care Hospital | 120 East Howard Avenue, Driggs, ID 83422-5112 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851761464 | Brent Leavitt | General Acute Care Hospital | 4928 Pleasant View Dr, Chubbuck, ID 83202-1640 | 2015-09-25 |
| 1639406267 | Florence Hospital, LLC | General Acute Care Hospital | 1300 E State St, Suite 102, Eagle, ID 83616-7059 | 2009-11-03 |
| 1912132176 | Initiatives Healthcare, LLC | General Acute Care Hospital | 1205 N 11th St, Boise, ID 83702-4102 | 2009-05-18 |
| 1417122821 | Elmore Medical Center Specialty Physician Group | General Acute Care Hospital | 890 N 6th E, Mountain Home, ID 83647-2206 | 2008-04-25 |
| 1275703241 | North Canyon Medical Center, Inc. | General Acute Care Hospital | 267 North Canyon Drive, Gooding, ID 83330-1858 | 2008-03-06 |
| 1720298102 | Weiser Valley Hospital District | General Acute Care Hospital | 645 E. 5th Street, Weiser, ID 83672-2202 | 2007-05-23 |
| 1548320435 | Benewah Community Hospital | General Acute Care Hospital | 229 South 7th St, St Maries, ID 83861 | 2006-12-11 |
| 1295769537 | Gooding County Hospital District | General Acute Care Hospital | 1120 Montana St, Gooding, ID 83330-1858 | 2006-07-11 |
| 1881641629 | Weiser Valley Hospital District | General Acute Care Hospital | 645 E. 5th St., Weiser, ID 83672-2202 | 2006-05-27 |
| 1609826270 | Oneida County Hospital | General Acute Care Hospital | 150 N 200 W, Malad, ID 83252-1239 | 2006-05-12 |
| Find all providers with the same taxonomy | ||||
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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.