Teton Cancer Institute

NPI #1578807996 in Rexburg, Idaho

Provider Information

NPI Number
1578807996
Entity Type
Organization
Organization Name
Teton Cancer Institute
Subpart
Yes (part of a larger organization)
Parent Organization
MOUNTAIN VIEW HOSPITAL LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Nov 26, 2012
Last Updated
Feb 4, 2014

Practice Location

Address
380 WALKER DR
State
Idaho
ZIP Code
83440-1657
Phone
(208) 356-9559

Authorized Official

Name
NED HILLYARD
Title
CCO
Phone
(208) 557-2711

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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