ST JOHNS MEDICAL CENTER PHYSICIAN SERVICES
NPI 1457665333
General Practice in Jackson, WY

Active since August 03, 2010CLIA 53D0662207 · Accreditation
BOX 428 625 E BROADWAY AVE, JACKSON, WY 83001(307) 733-3636(307) 734-9881 Get Directions Write a Review

NPPES record last updated: August 14, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St Johns Medical Center Physician Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST JOHNS MEDICAL CENTER PHYSICIAN SERVICES (NPI 1457665333) is a healthcare organization registered as a general practice in Jackson, Wyoming and active in the NPI registry since August 2010. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists John J. Kren, Cfo, as its authorized official.

NPPES Registry Identity

NPI1457665333
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameTETON COUNTY HOSPITAL DISTRICT
Location AddressBOX 428 625 E BROADWAY AVEJackson, WY 83001-8642
Mailing AddressPo Box 428Jackson, WY 83001-0428 · (307) 739-7250
Fax(307) 734-9881
Organization SubpartNo
Authorized OfficialJohn J. KrenCfo · (307) 739-7526
Enumeration DateAugust 3, 2010
Last NPPES UpdateAugust 14, 2013
NPI 1457665333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
BOX 428 625 E BROADWAY AVE, Jackson, WY 83001

Other Names 1

Doing Business AsSt Johns Medical Center Physician Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 53D0662207

St Johns Medical Center · Jackson, WY
Active · expires Feb 27, 2027
CLIA Number53D0662207
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Edward J. Callaghan
Laboratory Phone(307) 739-7315
Laboratory LocationSt Johns Medical Center625 E Broadway St, Jackson, WY 83001
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teton County Hospital District's NPI number?

The NPI number for Teton County Hospital District is 1457665333. It was assigned to this organization in the NPPES registry on August 3, 2010. The provider is doing business as St Johns Medical Center Physician Services.

Where is Teton County Hospital District located?

Teton County Hospital District is located at Box 428 625 E Broadway Ave, Jackson, WY 83001. The listed phone number is (307) 733-3636.

What is Teton County Hospital District's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Teton County Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 53D0662207) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Teton County Hospital District was last updated on August 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.