NPI 1689695207 · live from the CMS NPI Registry
Teton Valley Hospital & Surgicenter
Hospice Care, Community Based in Driggs, ID. National Provider Identifier 1689695207, active.
NPI record
| NPI | 1689695207 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 345 N 1st E, Driggs, ID 83422 |
| Practice phone | 208-354-6317 |
| Mailing address | 120 E Howard St, Driggs, ID 83422 |
| Enumerated | July 21, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Susan Kunz, Chief Executive Officer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | HH-184 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.