| Teton Valley Healthcare, Inc | |
|
30 E Little Ave Driggs ID 83422-5138 | |
| (208) 354-6302 | |
| (208) 354-3158 |
| Full Name | Teton Valley Healthcare, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 30 E Little Ave, Driggs, Idaho |
| Authorized Official Name and Position | Laura C Piquet (DIRECTOR OF COMPLIANCE) |
| Authorized Official Contact | 2083546302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teton Valley Healthcare, Inc 120 E Howard St Driggs ID 83422-5112 Ph: (208) 354-6302 | Teton Valley Healthcare, Inc 30 E Little Ave Driggs ID 83422-5138 Ph: (208) 354-6302 |
| NPI Number | 1417405606 |
|---|---|
| Provider Enumeration Date | 09/15/2016 |
| Last Update Date | 09/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417405606 | NPI | - | NPPES |
| 6 | Other | RETAIL CLINIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 31 (Idaho) | Primary |
| 363AM0700X | Physician Assistant - Medical | 31 (Idaho) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 31 (Idaho) | Secondary |
Brent Blue Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 190 Mustang Drive, Driggs, ID 83422 Phone: 307-733-7835 Fax: 307-201-4999 | |
Four Peaks Clinic Urgent Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Valley Center Dr, Driggs, ID 83422 Phone: 208-354-4757 Fax: 208-354-4758 | |
Fpc Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 852 Valley Centre Dr, Driggs, ID 83422 Phone: 208-354-4757 Fax: 208-354-4758 | |
Teton County Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 852 Valley Centre Dr, Driggs, ID 83422 Phone: 208-354-4757 Fax: 307-354-4758 |