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TETON CANCER INSTITUTE NPI 1578807996


NPI Information

NPI: 1578807996
Provider Name: TETON CANCER INSTITUTE

Doing Business As: TETON CANCER INSTITUTE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 13D0990424

Address:
380 WALKER DR
REXBURG, ID
ZIP 83440
Phone: (208) 356-9559
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TETON CANCER INSTITUTE is a durable medical equipment medical supplies in Rexburg, ID. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. TETON CANCER INSTITUTE NPI is 1578807996. The provider is registered as an organization entity type.
The provider Is Doing Business As Teton Cancer Institute.

The provider's business location address is:

380 WALKER DR
REXBURG, ID
ZIP 83440-657
Phone: (208) 356-9559
Fax: (208) 356-6601

The provider's authorized official is Ned Hillyard .
The authorized official title is Cco and has the following contact phone number (208) 557-2711.

The CLIA number assigned to this NPI record is 13D0990424 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/26/2012 and was last updated on 2/4/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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

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