Teton Service Coordination LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

TETON SERVICE COORDINATION LLC

Practice address

1036 E Iron Eagle Dr Ste 166
Eagle, ID 83616-2413

Phone

(986) 217-4584

NPI assigned

Jun 25, 2024

Organization subpart

No

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

Authorized official

Name

Jodi CopelandNPI 1861232472

Title

Owner/Administrator

Phone

(986) 217-4584

Specialties & licenses 1

Addresses

Other names 1

• Teton Service Coordination LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jodi Copeland, BSW

  • Case Manager/Care Coordinator
  • Eagle, ID
  • NPI 1861232472

  Case Management

  NPD Authorized official

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1851136600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 E IRON EAGLE DR STE 166",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836162413",
            "telephone_number": "986-217-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 E IRON EAGLE DR STE 166",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836162413",
            "telephone_number": "986-217-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETON SERVICE COORDINATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "986-217-4584"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teton Service Coordination LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Eagle, ID
• Providers in Eagle, ID by specialty
• Case Management Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.