TETON CANCER INSTITUTE NPI 1659426617

NPI Information

TETON CANCER INSTITUTE is a durable medical equipment medical supplies in Idaho Falls, 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 1659426617. 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:

1957 E 17TH ST
IDAHO FALLS, ID
ZIP 83404-429
Phone: (208) 523-1100
Fax: (208) 557-2701

The provider's authorized official is Ned Hillyard .
The authorized official title is Cco and has the following contact phone number (208) 577-2711.

The CLIA number assigned to this NPI record is 13D1037928 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/23/2007 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:

Other Identifiers

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

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