TETON CANCER INSTITUTE (NPI# 1659426617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659426617 |
| Entity Type | Organization |
| Organization Name | TETON CANCER INSTITUTE |
| Other Organization Name | TETON CANCER INSTITUTE |
| Practice Address |
1957 E 17th St Idaho Falls ID 83404-6429 |
| Mailing Address |
2325 Coronado Street Idaho Falls ID 83404 |
| Practice Telephone | 2085231100 |
| Practice Fax Number | 2085572701 |
| Mailing Telephone | 2085572700 |
| Mailing Fax Number | 2085572701 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2014-02-04 |
| Authorized Official Name | NED HILLYARD (CCO) |
| Authorized Official Telephone | 2085772711 |
| Is Organization Subpart | Y |
| Parent Organization Name | MOUNTAIN VIEW HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| TETON CANCER INSTITUTE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639556376 | Teton Cancer Institute | Internal Medicine | 1957 E 17th St, Idaho Falls, ID 83404-6429 | 2015-05-01 |
| 1578807996 | Teton Cancer Institute | Durable Medical Equipment & Medical Supplies | 380 Walker Dr, Rexburg, ID 83440-1657 | 2012-11-26 |
| Street Address |
1957 E 17TH ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-6429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600501 | Ryan Englis | Nurse Practitioner | 1957 E 17th St, Idaho Falls, ID 83404-6429 | 2019-07-10 |
| 1083090450 | Kylee Belnap | Physician Assistant | 1957 E 17th St, Idaho Falls, ID 83404-6429 | 2015-08-07 |
| 1639556376 | Teton Cancer Institute | Internal Medicine | 1957 E 17th St, Idaho Falls, ID 83404-6429 | 2015-05-01 |
| 1053570515 | Luana Tomchak | Dietitian, Registered | 1957 E 17th St, Idaho Falls, ID 83404-6429 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558887927 | Foothill Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 6230 S Heritage Ln Ste 5, Idaho Falls, ID 83402-5803 | 2017-08-17 |
| 1730558255 | Excellence In Medicine Inc | Durable Medical Equipment & Medical Supplies | 2960 Cortez Ave, Idaho Falls, ID 83404-7554 | 2015-09-15 |
| 1255779757 | Dvt Solutions LLC | Durable Medical Equipment & Medical Supplies | 1005 Ada Ave, Idaho Falls, ID 83402-2121 | 2013-06-06 |
| 1073956306 | Pt Medical LLC | Durable Medical Equipment & Medical Supplies | 490 Memorial Dr, Idaho Falls, ID 83402-3656 | 2013-04-17 |
| 1447580428 | Full of Life 5580 | Durable Medical Equipment & Medical Supplies | 697 E 1600 N, Idaho Falls, ID 83402-5752 | 2010-01-13 |
| 1093996399 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1604 W Broadway St, Idaho Falls, ID 83402-3048 | 2007-11-15 |
| 1386831964 | Idaho Home Health & Hospice, Inc. | Durable Medical Equipment & Medical Supplies | 1910 Channing Way, Idaho Falls, ID 83404-8030 | 2007-09-27 |
| 1376743344 | Nicks Service | Durable Medical Equipment & Medical Supplies | 367 W Broadway St, Idaho Falls, ID 83402-3639 | 2007-07-19 |
| 1508996885 | Senior Supports, Inc. | Durable Medical Equipment & Medical Supplies | 841 Oxford Dr, Idaho Falls, ID 83401-4204 | 2007-03-06 |
| 1487711065 | Teton Clinical Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 2470 Jafer Ct., Idaho Falls, ID 83404 | 2007-01-02 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on TETON CANCER INSTITUTE.
| 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.