| Organization Name: | TETON VALLEY HOSPITAL & SURGICENTER |
| NPI Number: | 1710959184 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURA C PIQUET (QUALITY SERVICES MANAGER) |
| Mailing Address: | 120 East Howard Avenue Driggs |
| State: | ID US |
| Postal Code: | 834225112 |
| Phone Number: | 2083542383 |
| Fax Number: | 2083543158 |
| NPI Enumeration Date: | 02/01/2006 |
| NPI Last Update Date: | 02/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 31 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |