| Organization Name: | TETON VALLEY HOSPITAL & SURGICENTER |
| NPI Number: | 1689695207 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN KUNZ (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 345 N 1st E Driggs |
| State: | ID US |
| Postal Code: | 834225162 |
| Phone Number: | 2083546317 |
| Fax Number: | |
| NPI Enumeration Date: | 07/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | HH-184 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |