| Organization Name: | TETON COUNTY HOSPITAL DISTRICT |
| NPI Number: | 1679859797 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN J. KREN (CFO) |
| Mailing Address: | 852 Valley Centre Dr Driggs |
| State: | ID US |
| Postal Code: | 834225005 |
| Phone Number: | 2083544757 |
| Fax Number: | 3073544758 |
| NPI Enumeration Date: | 11/03/2011 |
| NPI Last Update Date: | 08/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 09-179 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |