Teton Family Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TETON FAMILY SERVICES, INC.

Practice address

1030 E Sublette St
Pocatello, ID 83201-5269

Phone

(208) 232-5787

Fax

(208) 232-2638

NPI assigned

Jan 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ronald Bret Hamilton, L.S.W.

Title

Administrator

Phone

(208) 233-4166

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124174941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 E SUBLETTE ST",
            "address_2": "PO BOX 4669",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015269",
            "telephone_number": "208-232-5787",
            "fax_number": "208-232-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 E SUBLETTE ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015269",
            "telephone_number": "208-232-5787",
            "fax_number": "208-232-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETON FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "BRET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-233-4166",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Tennyson
• Tensel LLC
• Tensel LLC-TCM
• Cheri Elizabeth Tensel
• William Jared Terry, DMD
• Teton Open MRI of Pocatello, LLC
• Teton Spine PLLC
• Teton Spine, PLLC
• Teton Vascular Institute of Pocatello a Series of Teton Group
• Andrew Thayne, M.D.

• Community/Behavioral Health Agency in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.