TETON CANCER INSTITUTE
NPI 1578807996
Durable Medical Equipment & Medical Supplies in Rexburg, ID
NPI Status: Active since November 26, 2012
Contact Information
380 WALKER DR
REXBURG, ID
ZIP 83440
Phone: (208) 356-9559
Fax: (208) 356-6601
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 13D0990424
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-14-2026
About TETON CANCER INSTITUTE
This page provides the complete NPI Profile along with additional information for Teton Cancer Institute, a provider established in Rexburg, Idaho operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1578807996 assigned on November 2012. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Teton Cancer Institute. The authorized official of this NPI record is Ned Hillyard (Cco)
- NPI
- 1578807996
- Provider Legal Name
- TETON CANCER INSTITUTE
- Other Organization Name
- TETON CANCER INSTITUTE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 380 WALKER DR REXBURG, ID 83440
- Location Phone
- (208) 356-9559
- Location Fax
- (208) 356-6601
- Mailing Address
- 2325 CORONADO ST IDAHO FALLS, ID 83404
- Mailing Phone
- (208) 557-2700
- Mailing Fax
- (208) 356-6601
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-26-2012
- Last Update Date
- 02-04-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D0990424
- Facility Type
- Physician Office
- Certificate Effective Date
- August 15, 2024
- Certificate Expiration Date
- August 14, 2026
- Laboratory Director
- JEFFREY HANCOCK
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Teton Cancer Institute on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1578807996, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 74 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578807996, enumerated as an "organization" on November 26, 2012.
The provider is located at 380 WALKER DR REXBURG, ID 83440 and the phone number is (208) 356-9559.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
