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NPI Code Detail

MEDICARE: TETON COUNTY HOSPITAL DISTRICT

MEDICARE: TETON COUNTY HOSPITAL DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1347C00000XPrivate Vehicle
2275N00000XMedicare Defined Swing Bed Hospital Unit15109WY
3282N00000XGeneral Acute Care Hospital15109WY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801835475
Entity Type Code : Organization
Provider Name (Legal Business Name) : TETON COUNTY HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : PO BOX 428
Second Line :
City : JACKSON
State : WY
Zip : 83001-0428
Country : US
Telephone Number : 307-733-3636
Fax Number : 877-205-2024
Provider Business Practice Location Address
First Line : 625 E BROADWAY AVE
Second Line :
City : JACKSON
State : WY
Zip : 83001-8642
Country : US
Telephone Number : 307-733-3636
Fax Number : 877-205-2024
Authorized Official
Title or Position : CFO
Name : MITCHELL WATSON
Credential :
Telephone Number : 307-739-7526
Provider Enumeration Date : 06/06/2006
Last Update Date : 11/25/2025

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Directions to “TETON COUNTY HOSPITAL DISTRICT ” Practice Location

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