| NPI | 1053669598 |
|---|---|
| Doing Business As | TETON VALLEY HEALTH CARE SWING BED UNIT |
| Entity Type | Organization |
| Authorized Contact | JILL PAYNE Chief Of Compliance 208-354-6302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: ID 31) |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: ID 31) |
| 341600000X Ambulance (Licence: ID 31) | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2020-02-20 |