VICTOR CLINIC
NPI 1801143029
Clinic/Center - Rural Health in Victor, ID

Q: What is Teton Valley Health Care, Inc's NPI number?

The NPI number for Teton Valley Health Care, Inc is 1801143029. It was assigned to this organization in the NPPES registry on August 7, 2012. The provider is doing business as Victor Clinic.

Q: What is Teton Valley Health Care, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since August 07, 2012CLIA 13D1107387 · Microscopy

83 N MAIN ST, VICTOR, ID 83455(208) 354-6307(208) 787-7456 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Victor Clinic NPPES

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

VICTOR CLINIC (NPI 1801143029) is a healthcare organization registered as a rural health in Victor, Idaho and active in the NPI registry since August 2012. The organization holds a CLIA Microscopy certificate valid through November 3, 2027 and lists Jill Payne Payne, Chief Of Compliance, as its authorized official.

NPPES Registry Identity

NPI1801143029

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameTETON VALLEY HEALTH CARE, INC

Location Address83 N MAIN STVictor, ID 83455-0368

Mailing Address120 E Howard StDriggs, ID 83422-5112 · (208) 354-6302 · Fax (208) 354-3158

Phone(208) 354-6307

Fax(208) 787-7456

Organization SubpartNo

Authorized OfficialJill Payne PayneChief Of Compliance · (208) 354-6352

Enumeration DateAugust 7, 2012

Last NPPES UpdateFebruary 20, 2020

✔ NPI 1801143029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

License✔ Licensed in ID · 31

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X

Also ListedPediatricsTaxonomy 208000000X

Also ListedSurgeryTaxonomy 208600000X · License 31 (ID)

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 31 (ID)

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X

83 N MAIN ST, Victor, ID 83455

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Other Names 1

Doing Business AsVictor Clinic

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 for Provider-Performed Microscopy Procedures (PPMP) 13D1107387

Victor Health Clinic · Victor, ID

Active · expires Nov 3, 2027

CLIA Number13D1107387

Laboratory TypeRural Health Clinic

Certificate Effective DateNovember 4, 2025

Certificate Expiration DateNovember 3, 2027

Laboratory DirectorChad R. Horrocks

Laboratory Phone(208) 354-6307

Laboratory LocationVictor Health Clinic83 North Main St, Victor, ID 83455

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Valley Health Care, Inc's NPI number?

The NPI number for Teton Valley Health Care, Inc is 1801143029. It was assigned to this organization in the NPPES registry on August 7, 2012. The provider is doing business as Victor Clinic.

Where is Teton Valley Health Care, Inc located?

Teton Valley Health Care, Inc is located at 83 N Main St, Victor, ID 83455. The listed phone number is (208) 354-6307.

What is Teton Valley Health Care, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Teton Valley Health Care, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D1107387) is associated with this NPI, valid through November 3, 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 Valley Health Care, Inc was last updated on February 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.