Organization Name: | TETON COUNTY HOSPITAL DISTRICT |
NPI Number: | 1568493989 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN J. KREN (CFO) |
Mailing Address: | 555 E Broadway Ave Suite #115 Jackson |
State: | WY US |
Postal Code: | 830018640 |
Phone Number: | 3077397465 |
Fax Number: | 3077397645 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 03/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 15121 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |