Teton Valley Health Care Inc

A Medicare group practice based in Driggs, ID: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 3870744956), with 103 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3870744956The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
ID
Enrollments
5
Group size
31 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
10In 2 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20121120000565 ID Part A Provider - Rural Health Clinic 1801143029
O20121120000517 ID Part A Provider - Rural Health Clinic 1013264183
O20121128000587 ID Part B Supplier - Clinic/Group Practice 1013264183
O20121120000107 ID Part A Provider - Critical Access Hospital 1477809622
O20220802004129 ID Part A Provider - Critical Access Hospital 1053669598

NPIs in this group 5

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 103

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (101) or whom Care Compare lists as members (31).

Sources for this page