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CAH131313-00 Teton Valley Health Care, Inc. dba Teton Valley Hospital (Active)
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Main Details
Name
Teton Valley Health Care, Inc. dba Teton Valley Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH131313-00
Medicare Provider Number
131313
Additional Details
Current Program Status
Active
Registration Date
4/12/2013
Participating Start Date
7/1/2013
Participating Approval Date
4/18/2013
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Teton Valley Health
Troy Christensen, CEO
(208) 354-6340
Primary Contact
Teton Valley health
Cassidy Howarth, DOP
(208) 354-6316
Addresses
Street Address
120 East Howard Avenue
Driggs, ID 83422
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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