| Teton Family Services, Inc. | |
|
1030 E Sublette St Pocatello ID 83201-5269 | |
| (208) 232-5787 | |
| (208) 232-2638 |
| Full Name | Teton Family Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1030 E Sublette St, Pocatello, Idaho |
| Authorized Official Name and Position | Ronald Bret Hamilton (ADMINISTRATOR) |
| Authorized Official Contact | 2082334166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teton Family Services, Inc. 1030 E Sublette St Po Box 4669 Pocatello ID 83201-5269 Ph: (208) 232-5787 | Teton Family Services, Inc. 1030 E Sublette St Pocatello ID 83201-5269 Ph: (208) 232-5787 |
| NPI Number | 1124174941 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124174941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Idaho) | Primary |
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