Teton Valley Health Care, Inc
Teton Valley Health Care, Inc is a Pain Medicine (Anesthesiology) Physician in Victor, Idaho. Licensed in Idaho. Registered with an NPI since 2012.
- Licensed in
- ID
- In the registry since
- 2012
- Specialties on file
- 11
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
83 N Main StVictor, ID 83455-0368
Phone: (208) 354-6307
Fax: (208) 787-7456
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X · Licence 31 (ID) |
|---|---|
| Pain Medicine (Anesthesiology) Physician | Taxonomy 207LP2900X (ID) |
| Family Medicine Physician | Taxonomy 207Q00000X (ID) |
| Orthopaedic Surgery Physician | Taxonomy 207X00000X (ID) |
| Sports Medicine (Orthopaedic Surgery) Physician | Taxonomy 207XX0005X (ID) |
| Pediatrics Physician | Taxonomy 208000000X (ID) |
| Surgery Physician | Taxonomy 208600000X · Licence 31 (ID) |
| Interventional Pain Medicine Physician | Taxonomy 208VP0014X · Licence 31 (ID) |
| Medical Physician Assistant | Taxonomy 363AM0700X (ID) |
| Nurse Practitioner | Taxonomy 363L00000X (ID) |
| Pediatric Nurse Practitioner | Taxonomy 363LP0200X (ID) |
Record details
| NPI number | 1801143029 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jill Payne Payne — Chief Of Compliance · (208) 354-6352 |
| Other names | Victor Clinic; Victor Clinic |
| NPI enumerated | August 7, 2012 |
| Last updated in NPPES | February 20, 2020 |
| Certification date | February 20, 2020 |
| Mailing address | 120 E Howard St, Driggs, ID 83422-5112 |