TETON COUNTY HOSPITAL DISTRICT (NPI# 1881896694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881896694 |
| Entity Type | Organization |
| Organization Name | TETON COUNTY HOSPITAL DISTRICT |
| Other Organization Name | ST JOHNS MEDICAL CENTER |
| Practice Address |
625 East Broadway Jackson WY 83001 |
| Mailing Address |
Po Box 428 Jackson WY 83001 |
| Practice Telephone | 3077333636 |
| Practice Fax Number | 3077397522 |
| Mailing Telephone | 3077333636 |
| Mailing Fax Number | 3077397522 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2008-06-06 |
| Authorized Official Name | MS. KELLY S CLASEN (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Telephone | 3077397559 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 07109 | WY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 106299904 | 05 |
| Other Name | Type Code |
|---|---|
| St Johns Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952823783 | Teton County Hospital District | Pharmacy | 555 E Broadway Ave Ste 212, Jackson, WY 83001-8640 | 2017-07-13 |
| 1457665333 | Teton County Hospital District | General Practice | Box 428 625 E Broadway Ave, Jackson, WY 83001-8642 | 2010-08-03 |
| 1679859797 | Teton County Hospital District | General Practice | 852 Valley Centre Dr, Driggs, ID 83422-5005 | 2011-11-03 |
| 1821317595 | Teton County Hospital District | Emergency Medicine | 625 E Broadway Ave, Jackson Hole, WY 83001-8642 | 2010-05-20 |
| 1487818605 | Teton County Hospital District | General Practice | 625 E Broadway Ave, Jackson, WY 83001-8642 | 2008-07-16 |
| 1801929997 | Teton County Hospital District | Medicare Defined Swing Bed Unit | 625 E Broadway, Jackson, WY 83001-0428 | 2007-03-14 |
| 1215064985 | Teton County Hospital District | Skilled Nursing Facility | 625 East Broadway, Jackson, WY 83001-8642 | 2007-02-28 |
| 1972657179 | Teton County Hospital District | Pharmacy | 625 E Broadway Ave, Jackson, WY 83001-8642 | 2007-01-23 |
| 1194744235 | Teton County Hospital District | Case Management | 555 E Broadway Ave, Ste 115, Jackson, WY 83001-8640 | 2006-07-19 |
| 1568493989 | Teton County Hospital District | Hospice Care, Community Based | 555 E Broadway Ave, Suite #115, Jackson, WY 83001-8640 | 2006-07-05 |
| Street Address |
625 EAST BROADWAY |
| City | JACKSON |
| State | WY |
| Zip Code | 83001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316979057 | William David Hamilton | Nurse Anesthetist, Certified Registered | 625 East Broadway, Jackson, WY 83001 | 2006-07-06 |
| 1215064985 | Teton County Hospital District | Skilled Nursing Facility | 625 East Broadway, Jackson, WY 83001-8642 | 2007-02-28 |
| 1700990777 | Robert C Berlin | Radiology | 625 East Broadway, St Johns Medical Center Dept of Radiology, Jackson, WY 83001 | 2006-08-18 |
| 1417061482 | Christopher Sean Haling | Radiology | 625 East Broadway, St Johns Medical Center Dept of Radiology, Jackson, WY 83001 | 2006-08-18 |
| 1689788655 | Thomas J Wilson | Radiology | 625 East Broadway, St Johns Medical Center Dept of Radiology, Jackson, WY 83001 | 2006-08-18 |
| 1952317323 | Gary W Heath | Radiology | 625 East Broadway, St Johns Medical Center Dept of Radiology, Jackson, WY 83001 | 2006-07-31 |
| 1184656191 | Jean Ann Hamilton | Nurse Anesthetist, Certified Registered | 625 East Broadway, Jackson, WY 83001 | 2006-07-07 |
| 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 Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093265159 | Missouri Delta Medical Center | General Acute Care Hospital | 2856 Vista Ridge Pl, Jackson, MO 63755-8105 | 2016-10-12 |
| 1679810022 | Proficiency Scribes Cs, LLC | General Acute Care Hospital | 114 Bradley Rd, Jackson, GA 30233-3702 | 2013-01-04 |
| 1073588034 | Carelink of Jackson, A Community-owned Specialty Hospital | General Acute Care Hospital | 110 N. Elm Avenue, Jackson, MI 49202-3595 | 2006-02-22 |
| 1760921894 | University of Mississippi Medical Center | General Acute Care Hospital | 764 Lakeland Dr, 2nd Floor, Jackson, MS 39216-4651 | 2017-02-22 |
| 1629475348 | Mallory Miller | General Acute Care Hospital | 620 Skyline Dr, Jackson, TN 38301-3923 | 2014-11-24 |
| 1861833535 | University Hospital | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2013-07-10 |
| 1730480120 | Mississippi Baptist Medical Center, Inc. | General Acute Care Hospital | 1225 N State St, Jackson, MS 39202-2064 | 2010-11-16 |
| 1497068639 | W.a. Foote Memorial Hospital | General Acute Care Hospital | 205 N East Ave, 7th Floor One Jackson Square, Jackson, MI 49201-1753 | 2010-07-16 |
| 1538472964 | The University of Mississippi Medical Center | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2010-07-14 |
| 1033349501 | University of Mississipi Medical Center | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2009-07-20 |
| Find all providers in JACKSON | ||||
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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.