ST. JOHN'S MEDICAL CENTER
NPI 1801929997
Medicare Defined Swing Bed Unit in Jackson, WY
NPI Status: Active since March 14, 2007
Contact Information
625 E BROADWAY
JACKSON, WY
ZIP 83001
Phone: (307) 733-3636
- Organization
- Medicare Defined Swing Bed Unit
- CLIA Number: 53D0666261
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-07-2027
About ST. JOHN'S MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for St. John's Medical Center, a provider established in Jackson, Wyoming operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1801929997 assigned on March 2007. The practitioner's primary taxonomy code is 275N00000X with license number 07109 (WY). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as St. John's Medical Center. The authorized official of this NPI record is Steven Poole (Provider Relations)
- NPI
- 1801929997
- Provider Legal Name
- TETON COUNTY HOSPITAL DISTRICT
- Other Organization Name
- ST. JOHN'S MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 625 E BROADWAY JACKSON, WY 83001
- Location Phone
- (307) 733-3636
- Mailing Address
- PO BOX 428 JACKSON, WY 83001
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-14-2007
- Last Update Date
- 08-22-2020
- 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
Medicare Defined Swing Bed Unit
- Taxonomy Code
- 275N00000X
- Type
- Hospital Units
- License No.
- 07109
- License State
- WY
- Taxonomy Description
- A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
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
- 53D0666261
- Facility Type
- Physician Office
- Certificate Effective Date
- October 08, 2025
- Certificate Expiration Date
- October 07, 2027
- Laboratory Director
- DR. GLENN E. BURNETT II
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St. John's Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1801929997, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).
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 73 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
JACKSON, WY 83001
JACKSON, WY 83001
JACKSON, WY 83001
JACKSON, WY 83001
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801929997, enumerated as an "organization" on March 14, 2007.
The provider is located at 625 E BROADWAY JACKSON, WY 83001 and the phone number is (307) 733-3636.
Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.
