institution
Teton Valley Hospital & Surgicenter
Home Health Agency in Driggs, Idaho
NPI 1770504391

Teton Valley Hospital & Surgicenter is a Home Health Agency based in Driggs, ID. Teton Valley Hospital & Surgicenter practices in Driggs, ID. The NPI Number for Teton Valley Hospital & Surgicenter is 1770504391 and holds a License No. HH-184 (Idaho).

The current practice location address for Teton Valley Hospital & Surgicenter is 120 E Howard St, Driggs, ID and can be reached out via phone at 208-354-6317.

Location: 120 E Howard St, Driggs, ID, 83422-5112
institution
Provider Profile Details
NPI Number
1770504391
Provider Name
Teton Valley Hospital & Surgicenter
Credential
Provider Entity Type
Organization
Address
120 E Howard St, Driggs, ID, 83422-5112
Phone Number
208-354-6317
Fax Number
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0022800 05 ID
000010033856 01 ID REGENCE BLUE SHIELD OF ID
02592 01 ID BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
120 E Howard St
City
State
Zip
83422-5112
Phone Number
208-354-6317
Fax Number
person
Provider Business Mailing Address Details
Address
120 E Howard St
City
State
Zip
83422-5112
Phone Number
208-354-6317
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
HH-184 (Idaho)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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