1. Home
  2. Directory
  3. Idaho
  4. Falls
  5. Internal Medicine
  6. NPI Profile

TETON CANCER INSTITUTE
NPI 1639556376
Internal Medicine - Hematology & Oncology in Idaho Falls, ID

Active since May 01, 2015CLIA 13D1037928 · Accreditation
1957 E 17TH ST, IDAHO FALLS, ID 83404(208) 523-1100 Get Directions Write a Review

NPPES record last updated: June 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Teton Cancer Institute NPPES

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

TETON CANCER INSTITUTE (NPI 1639556376) is a healthcare organization registered as a hematology & oncology in Idaho Falls, Idaho and active in the NPI registry since May 2015. The organization holds an CLIA Accreditation certificate valid through August 14, 2026 and lists Ned Hillyard, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1639556376
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameTETON CANCER INSTITUTE
Location Address1957 E 17TH STIdaho Falls, ID 83404-6429
Mailing Address2325 Coronado StIdaho Falls, ID 83404-7407 · (208) 523-1100
Phone(208) 523-1100
Organization SubpartYesParent: Mountain View Hospital
Authorized OfficialNed HillyardChief Compliance Officer · (208) 557-2711
Enumeration DateMay 1, 2015
Last NPPES UpdateJune 22, 2015
✔ NPI 1639556376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1957 E 17TH ST, Idaho Falls, ID 83404
Open in Google Maps ↗

Other Names 1

Doing Business AsTeton Cancer Institute

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

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 13D1037928

Teton Cancer Institute · Idaho Falls, ID
Active · expires Aug 14, 2026
CLIA Number13D1037928
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2024
Certificate Expiration DateAugust 14, 2026
Laboratory DirectorClark Daines
Laboratory Phone(208) 523-1100
Laboratory LocationTeton Cancer Institute1957 E 17th St, Idaho Falls, ID 83404
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 8

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

LUANA TOMCHAK R.D.
Dietitian, Registered
1957 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2352
SYDNEY JUNE DUSTIN MDA, RDN, LD
Dietitian, Registered
1957 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 523-1100
KYLEE BELNAP PA-C
Physician Assistant
1957 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 523-1100
SHERYL LYNN YEE LCSW
Social Worker (Clinical)
1957 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 523-1100
JACESON BANHAM PA-C
Physician Assistant
1957 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 523-1100
DR. JESSICA LYNN CORBRIDGE PHARM D
Pharmacist
1957 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 542-7035
RYAN ENGLIS
Nurse Practitioner
1957 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 523-1100
TETON CANCER INSTITUTE
Durable Medical Equipment & Medical Supplies
1957 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 523-1100

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 1639556376. It was assigned to this organization in the NPPES registry on May 1, 2015.

Where is Teton Cancer Institute located?

Teton Cancer Institute is located at 1957 E 17th St, Idaho Falls, ID 83404. The listed phone number is (208) 523-1100.

What is Teton Cancer Institute's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Does Teton Cancer Institute hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 13D1037928) is associated with this NPI, valid through August 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Teton Cancer Institute accept?

Health plans from Sanford Health Plan list Teton Cancer Institute as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Teton Cancer Institute was last updated on June 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.