Teton Valley Healthcare, INC

NPI #1417405606 in Driggs, Idaho

Provider Information

NPI Number: 1417405606
Entity Type: Organization
Organization Name: Teton Valley Healthcare, INC
Subpart: Yes (part of a larger organization)
Parent Organization: TETON VALLEY HEALTHCARE, INC
Primary Specialty: Family Medicine
Enumeration Date: Sep 15, 2016
Last Updated: Sep 15, 2016

Practice Location

Address: 30 E LITTLE AVE
City: Driggs
State: Idaho
ZIP Code: 83422-5138
Phone: (208) 354-6302

Authorized Official

Name: LAURA C PIQUET
Title: DIRECTOR OF COMPLIANCE
Phone: (208) 354-6302

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Nurse Practitioner - Family — Family	363LF0000X
Family Medicine	207Q00000X	Primary

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Provider Name	Specialty	City
Teton Valley Health Care INC	Family Medicine	Driggs	AI Deep Dive

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