| Organization Name: | TETON COUNTY HOSPITAL DISTRICT |
| NPI Number: | 1487818605 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN KREN (CFO) |
| Mailing Address: | 625 East Broadway Jackson |
| State: | WY US |
| Postal Code: | 830018642 |
| Phone Number: | 3077333636 |
| Fax Number: | 8883295701 |
| NPI Enumeration Date: | 07/16/2008 |
| NPI Last Update Date: | 03/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15109 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |