Organization · Type 2 NPI

Teton Valley Health Care, Inc

Medicare Defined Swing Bed Hospital Unit · Driggs, ID

NPI number 1053669598 Active

Practice location

120 E Howard Avenue
Driggs, ID 83422-5112

Fax (208) 354-3158

Specialties and licenses

Taxonomy	Code	License
Medicare Defined Swing Bed Hospital Unit Primary	275N00000X	31 (ID)
Critical Access Hospital	282NC0060X	31 (ID)
Ambulance	341600000X	31 (ID)

Medicare Defined Swing Bed Hospital 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.

NPI record

NPI: 1053669598
Entity type: Organization (Type 2)
Issued: Aug 15, 2012
Last updated: Feb 20, 2020
Status: Active

Other names

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Teton Valley Health Care Swing Bed Unit · doing business as
Teton Valley Health Care Swing Bed Unit · doing business as

Authorized official

Mrs. Jill Payne
Chief of Compliance
(208) 354-6302

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053669598

Teton Valley Health Care, Inc's National Provider Identifier is 1053669598, issued on Aug 15, 2012. The primary taxonomy on file is Medicare Defined Swing Bed Hospital Unit (275N00000X), and the practice location is in Driggs, ID. The record was last updated on Feb 20, 2020.