NPIMap

Organization Active NPI

Teton Valley Hospital & Surgicenter

  • Critical Access Hospital
  • Driggs, ID
National Provider Identifier
1962664029
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
31 Issued in ID
Legal business name
TETON VALLEY HOSPITAL & SURGICENTER
Practice address
120 East Howard Avenue
Driggs, ID 83422-5112
Phone
(208) 354-2383
Fax
(208) 354-3158
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Mrs. Laura C. Piquet
Title
Operation Manager
Phone
(208) 354-6302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 31 ID Primary

Addresses

Primary practice location

120 East Howard Avenue
Driggs, ID 83422-5112

Mailing address

120 East Howard Avenue
Driggs, ID 83422-5112
Phone (208) 354-2383

Other identifiers 2

IdentifierTypeStateIssuer
002279600MedicaidID
13Z313OtherIDMEDICARE SWING BED

Other names 1

  • Teton Valley Hospital (Physician's Group) Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1962664029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EAST HOWARD AVENUE",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225112",
            "telephone_number": "208-354-2383",
            "fax_number": "208-354-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EAST HOWARD AVENUE",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225112",
            "telephone_number": "208-354-2383",
            "fax_number": "208-354-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETON VALLEY HOSPITAL & SURGICENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "PIQUET",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OPERATION MANAGER",
        "authorized_official_telephone_number": "208-354-6302",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "ID",
            "license": "31",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002279600",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SWING BED",
            "identifier": "13Z313",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teton Valley Hospital (Physician's Group)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Driggs, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.