Teton Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

TETON HOSPICE

Practice address

2470 Jafer Court
Idaho Falls, ID 83404-7575

Phone

(208) 529-3636

NPI assigned

Nov 16, 2011

Organization subpart

No

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

Authorized official

Name

Mark Deis

Title

Administrator

Phone

(208) 529-3636

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1831466002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 JAFER COURT",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047575",
            "telephone_number": "208-529-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 JAFER COURT",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047575",
            "telephone_number": "208-529-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETON HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "DEIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-529-3636"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teton Clinical Pharmacy, Inc.
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• Teton Counseling Center Inc
• Teton Foot & Ankle Center, PC
• Teton Home Health, LLC
• Teton Hospitalist Services, PLLC
• Teton Microbiology Laboratory
• Teton MRI of Idaho Falls
• Teton Nuclear Medicine Service LLC
• Teton Obstetrics and Gynecology PA

• Community Based Hospice Care Agency in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Community Based Hospice Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.