TETON OUTPATIENT SERVICES LLC


Address: 150 Buffalo Way, Jackson, WY 83001-2530
Phone: 3077338677

TETON OUTPATIENT SERVICES LLC (NPI# 1689651481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689651481
Entity Type Organization
Organization Name TETON OUTPATIENT SERVICES LLC
Practice Address 150 Buffalo Way
Jackson
WY 83001-2530
Mailing Address 150 Buffalo Way
Po Box 12530
Jackson
WY 83001-2530
Practice Telephone 3077338677
Practice Fax Number 3077347365
Mailing Telephone 3077338677
Mailing Fax Number 3077347365
Enumeration Date 2005-12-22
Last Update Date 2020-06-24
Authorized Official Name ERIC BOON (OFFICER/AUTHORIZED OFFICIAL)
Authorized Official Telephone 4805670269
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
0713016 WY Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WY 113599600 05
WY RAILROAD MEDICARE 490004244 01

Office Location

Street Address 150 BUFFALO WAY
City JACKSON
State WY
Zip Code 83001-2530

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528417938 Grand Teton Anesthesia, LLC Anesthesiology 150 Buffalo Way, Jackson, WY 83001 2016-06-07
1477916856 Uap of Wyoming, Inc. Anesthesiology 150 Buffalo Way, Jackson, WY 83001 2016-04-01
1477974608 Richard Gomez Md PC Anesthesiology 150 Buffalo Way, Jackson, WY 83002-2530 2013-12-13
1952420853 Chris Schroeder Specialist/Technologist, Other 150 Buffalo Way, Jackson, WY 83002 2007-03-29
1942364567 Jackson Hole Anesthesia Services Nurse Anesthetist, Certified Registered 150 Buffalo Way, Jackson, WY 83002 2006-12-20
1871657486 Molly Breslin Nurse Anesthetist, Certified Registered 150 Buffalo Way, Jackson, WY 83002 2006-12-20
1578627246 Glacier Anesthesia Services Anesthesiology 150 Buffalo Way, Jackson, WY 83002 2006-12-20
1598829228 Philip C Blum Anesthesiology 150 Buffalo Way, Jackson, WY 83002 2006-12-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861006108 Anne Kathleen Milburn Physical Therapist 3620 S Park Drive, Jackson, WY 83001 2020-09-03
1568009637 Katherine Pringle Ford Case Manager/Care Coordinator 2065 E. Limber Pine Road, Jackson, WY 83001 2019-12-07
1043878408 Cossette Burnham Physical Therapist Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 2019-05-31
1982169371 Cynthia Buck Huyffer Social Worker 755a Cache Creek Drive, Jackson, WY 83001 2019-02-10
1093281594 Lara Cilo Speech-Language Pathologist 1300 W. Valley Springs Road, Jackson, WY 83001 2018-10-23
1740776202 Teton Oral and Maxillofacial Surgery Dentist 1160 Alpine Ln Ste 1d, Jackson, WY 83001 2018-07-09
1437642055 Anna Yanchek Physical Therapist 1090 Us- 89, Jackson Hole, WY 83001 2018-06-08
1891200762 Tyler Ross Wright Chiropractor 1325 Us-89, Suite 108, Jackson, WY 83001 2017-12-13
1073027280 Root To Rise Counseling and Consulting, Pllc Social Worker 2033 Dandelion Court, Jackson, WY 83001 2017-11-27
1962923912 Piper Worthington Social Worker 1910 High School Rd, Jackson, WY 83001 2017-06-29
Find all providers in zip 83001

Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821336371 Eyecare Surgery Center, LLC Clinic/Center 1501 Lakeland Dr Ste 101, Jackson, MS 39216-4839 2013-01-17
1265618904 Jackson Gastroenterology Center, LLC Clinic/Center 4400 Ann Arbor Road, Jackson, MI 49202 2008-01-11
1912099805 Sapheneia Medical Minimally Invasive Therapy Institute Clinic/Center 932 N State St, Jackson, MS 39202-2613 2006-09-28
1588764989 W. A. Foote Memorial Hospital, Inc. Clinic/Center 1125 E Michigan Ave, Jackson, MI 49201-1801 2006-09-25
1225096498 Amador Surgery Center Clinic/Center 223 Clinton Road, Suite 204, Jackson, CA 95642-2680 2006-05-03
1558327213 Surgicare of Jackson Ltd Clinic/Center 760 Lakeland Dr, Jackson, MS 39216-4610 2006-04-21
1588631832 Surgical Services of Michigan, LLC Clinic/Center 2775 Blake Road, Jackson, MI 49201-8838 2006-03-07
1255303517 St Dominic Ambulatory Surgery Center L L C Clinic/Center 970 Lakeland Dr, Suite 15, Jackson, MS 39216-4601 2006-02-02
1710591060 Midsouth Interventional Pain Institute LLC Clinic/Center 2016 Greystone Sq, Jackson, TN 38305-3575 2020-09-03
1386149979 W. A. Foote Memorial Hospital, Inc Clinic/Center 205 S East Ave, Jackson, MI 49201-2413 2018-03-27
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 83001

Improve Information

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Dataset Information

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.

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