Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Teton Surgical Center LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1841295227

Grand Teton Surgical Center LLC is an Ambulatory Surgical Clinic/Center in Idaho Falls, Idaho. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2290 Coronado St
Idaho Falls, ID 83404-7552
Phone: (208) 524-3800
Fax: (208) 524-3805
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1841295227
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teresa Wellard — Director Of Nursing · (208) 524-3800
NPI enumeratedJune 14, 2005
Last updated in NPPESMarch 2, 2010
Mailing address2290 Coronado St, Idaho Falls, ID 83404-7552

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