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TETON CANCER INSTITUTE
NPI 1578807996
Durable Medical Equipment & Medical Supplies in Rexburg, ID

Active since November 26, 2012
380 WALKER DR, REXBURG, ID 83440(208) 356-9559(208) 356-6601 Get Directions Write a Review

NPPES record last updated: February 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Teton Cancer Institute NPPES

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

TETON CANCER INSTITUTE (NPI 1578807996) is a healthcare organization registered as a durable medical equipment & medical supplies in Rexburg, Idaho and active in the NPI registry since November 2012. The organization lists Ned Hillyard, Cco, as its authorized official.

NPPES Registry Identity

NPI1578807996
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameTETON CANCER INSTITUTE
Location Address380 WALKER DRRexburg, ID 83440-1657
Mailing Address2325 Coronado StIdaho Falls, ID 83404-7407 · (208) 557-2700 · Fax (208) 557-2701
Phone(208) 356-9559
Fax(208) 356-6601
Organization SubpartYesParent: Mountain View Hospital Llc
Authorized OfficialNed HillyardCco · (208) 557-2711
Enumeration DateNovember 26, 2012
Last NPPES UpdateFebruary 4, 2014
✔ NPI 1578807996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
380 WALKER DR, Rexburg, ID 83440
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Other Names 1

Doing Business AsTeton Cancer Institute

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 13D0990424

Teton Cancer Institute - Rexburg · Rexburg, ID
Expired · Aug 14, 2026
CLIA Number13D0990424
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2024
Certificate Expiration DateAugust 14, 2026
Laboratory DirectorJeffrey Hancock
Laboratory Phone(208) 356-9559
Laboratory LocationTeton Cancer Institute - Rexburg380 Walker Dr, Rexburg, ID 83440
CLIA data matches this NPI record on: Address Name Phone
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TETON ONCOLOGY LLC
Internal Medicine (Hematology & Oncology)
380 WALKER DR
REXBURG, ID 83440
Madison County (208) 356-9559
JEFFREY D HANCOCK MD
Pediatrics
380 WALKER DR
REXBURG, ID 83440
Madison County (208) 356-9559
MR. DALLIN BRIM GAMBLES PA
Physician Assistant (Medical)
380 WALKER DR
REXBURG, ID 83440
Madison County (208) 356-9559

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 Cancer Institute's NPI number?

The NPI number for Teton Cancer Institute is 1578807996. It was assigned to this organization in the NPPES registry on November 26, 2012.

Where is Teton Cancer Institute located?

Teton Cancer Institute is located at 380 Walker Dr, Rexburg, ID 83440. The listed phone number is (208) 356-9559.

What is Teton Cancer Institute's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Teton Cancer Institute was last updated on February 4, 2014. 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.