TETON VALLEY HEALTH CARE, INC (NPI# 1053669598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053669598 |
| Entity Type | Organization |
| Organization Name | TETON VALLEY HEALTH CARE, INC |
| Other Organization Name | TETON VALLEY HEALTH CARE SWING BED UNIT |
| Practice Address |
120 E Howard Avenue Driggs ID 83422-5112 |
| Practice Telephone | 2083542383 |
| Practice Fax Number | 2083543158 |
| Mailing Telephone | 2083542383 |
| Mailing Fax Number | 2083543158 |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | MRS. JILL PAYNE (CHIEF OF COMPLIANCE) |
| Authorized Official Telephone | 2083546302 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
31 | ID | Hospitals |
| N | 341600000X | Ambulance | 31 | ID | Transportation Services |
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 31 | ID | Hospital Units |
| Other Name | Type Code |
|---|---|
| Teton Valley Health Care Swing Bed Unit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801143029 | Teton Valley Health Care, Inc | Anesthesiology | 83 N Main St, Victor, ID 83455-0368 | 2012-08-07 |
| Street Address |
120 E HOWARD AVENUE |
| City | DRIGGS |
| State | ID |
| Zip Code | 83422-5112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310278 | Lance Ole Einerson | Physical Therapist | 440 North Main Street, Driggs, ID 83422 | 2019-08-08 |
| 1093205684 | Jennifer Lynn Mccrillis | Counselor | 1300 Arrowhead Plaza, Driggs, ID 83422 | 2018-05-18 |
| 1730636358 | Tkj, LLC | Health Educator | 1251 Arrowhead Plaza Way, Driggs, ID 83422 | 2016-09-01 |
| 1790136091 | Teton County Fire Protection Dist | Ambulance | 911 North Hwy 33, Driggs, ID 83422 | 2016-06-28 |
| 1922458942 | Candace Dayton | Social Worker | 620 Centenial Mountain Drive, Ste 12, Driggs, ID 83422 | 2016-06-21 |
| 1881092955 | Rebecca A. Park | Massage Therapist | 500 E Ski Hill Rd, Driggs, ID 83422 | 2014-12-05 |
| 1902211089 | Anna Rhea Hirnyck | Physical Therapist | 500 E Ski Hill, Drigga, ID 83422 | 2014-06-26 |
| 1982018867 | Ruby Isaly | Speech-Language Pathologist | 560 E Howard Avenue, Driggs, ID 83422 | 2014-06-18 |
| 1043633712 | Neerings Dental Inc, Dba Teton Valley Dental Center | Dentist | 235 Wallace Ave, Driggs, ID 83422 | 2014-01-30 |
| 1205261583 | Sara Helen Mckeown White | Counselor | 1300 Arrowhead Plaza Way, Driggs, ID 83422 | 2013-09-05 |
| Find all providers in zip 83422 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992913479 | Steele Memorial Medical Center | Medicare Defined Swing Bed Unit | 203 S. Daisy St., Salmon, ID 83467 | 2007-05-18 |
| 1730511254 | St Lukes Magic Valley Regional Medical Center Ltd | Medicare Defined Swing Bed Unit | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2013-08-07 |
| 1710226451 | St Lukes Regional Medical Center | Medicare Defined Swing Bed Unit | 895 N 6th E, Mountain Home, ID 83647-2207 | 2013-01-31 |
| 1043528011 | St Lukes Mccall, Ltd | Medicare Defined Swing Bed Unit | 1000 State St, Mccall, ID 83638-3704 | 2010-09-23 |
| 1689876781 | Bmh Inc | Medicare Defined Swing Bed Unit | 98 Poplar St, Blackfoot, ID 83221-1758 | 2007-06-01 |
| 1043429327 | Bingham Memorial Hospital | Medicare Defined Swing Bed Unit | 98 Poplar St, Blackfoot, ID 83221-1758 | 2007-05-22 |
| 1700909983 | Walter Knox Memorial Hospital | Medicare Defined Swing Bed Unit | 1202 E Locust St, Emmett, ID 83617-2715 | 2007-04-10 |
| 1275662546 | St Lukes Medical Center Woodriver Ltd | Medicare Defined Swing Bed Unit | 100 Hospital Drive, Ketchum, ID 83340-9999 | 2007-03-05 |
| 1619039732 | Mccall Memorial Hospital | Medicare Defined Swing Bed Unit | 1000 State St, Mccall, ID 83638-3704 | 2006-12-14 |
| 1740341114 | Gooding County Hospital District | Medicare Defined Swing Bed Unit | 1120 Montana St, Gooding, ID 83330-1858 | 2006-12-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.