TETON COUNTY HOSPITAL DISTRICT NPI 1568493989

NPI Information

NPI: 1568493989
Provider Name: TETON COUNTY HOSPITAL DISTRICT

Doing Business As: ST JOHNS HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
625 E BROADWAY AVE
JACKSON, WY
ZIP 83001
Phone: (307) 739-6135
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TETON COUNTY HOSPITAL DISTRICT is a hospice care community based in Jackson, WY. TETON COUNTY HOSPITAL DISTRICT NPI is 1568493989. The provider is registered as an organization entity type.
The provider Is Doing Business As St Johns Hospice.

The provider's business location address is:

625 E BROADWAY AVE
JACKSON, WY
ZIP 83001-642
Phone: (307) 739-6135
Fax: (307) 414-4729

The provider's authorized official is John Joseph Kren .
The authorized official title is Coo/cfo and has the following contact phone number (307) 739-7526.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 6/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		15121	WYOMING	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	106299916	MEDICAID	WYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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