Whalio Doctors

NPI 1013264183

Teton Valley Health Care INC

Organisation Rural Health Clinic/Center Driggs, ID

Practice location

Address
283 N 1st E, Driggs, ID 83422-5109
Phone
(208) 354-2302
Fax
(208) 354-8392
Mailing address
120 E Howard St, Driggs, ID 83422-5112

Authorised official

Name
Jill Payne
Title
Chief of Compliance
Phone
(208) 354-6352

Registered specialties (12)

Rural Health Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QR1300X Licence 31 (ID)
Pain Medicine (Anesthesiology) Physician
Allopathic & Osteopathic Physicians Taxonomy 207LP2900X
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X
Ophthalmology Physician
Allopathic & Osteopathic Physicians Taxonomy 207W00000X
Orthopaedic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207X00000X
Sports Medicine (Orthopaedic Surgery) Physician
Allopathic & Osteopathic Physicians Taxonomy 207XX0005X
Otolaryngology Physician
Allopathic & Osteopathic Physicians Taxonomy 207Y00000X
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X
Interventional Pain Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X
Family Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X
Pediatric Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X

Registry record

NPI
1013264183
Entity type
Organization
NPI issued
8 Aug 2012
Record last updated
20 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.