GRAND TETON SURGICAL CENTER LLC
NPI 1841295227
Clinic/Center - Ambulatory Surgical in Idaho Falls, ID

Active since June 14, 2005
2290 CORONADO ST, IDAHO FALLS, ID 83404(208) 524-3800(208) 524-3805 Get Directions Write a Review

NPPES record last updated: March 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grand Teton Surgical Center Llc NPPES

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

GRAND TETON SURGICAL CENTER LLC (NPI 1841295227) is a healthcare organization registered as an ambulatory surgical in Idaho Falls, Idaho and active in the NPI registry since June 2005. The organization lists Teresa Wellard, Director Of Nursing, as its authorized official.

NPPES Registry Identity

NPI1841295227
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGRAND TETON SURGICAL CENTER LLC
Location Address2290 CORONADO STIdaho Falls, ID 83404-7552
Mailing Address2290 Coronado StIdaho Falls, ID 83404-7552 · (208) 524-3800 · Fax (208) 524-3805
Fax(208) 524-3805
Organization SubpartNo
Authorized OfficialTeresa WellardDirector Of Nursing · (208) 524-3800
Enumeration DateJune 14, 2005
Last NPPES UpdateMarch 2, 2010
NPI 1841295227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2290 CORONADO ST, Idaho Falls, ID 83404

Other Identifiers 4

Other000010005323ID · Regence Blue Shield
Medicaid805482600ID
Medicare ID-Type Unspecified1870264ID
Other03772ID · Blue Cross

Accepted Insurance

Other Providers at the Same Location NPPES

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

Nurse Anesthetist, Certified Registered
2290 CORONADO ST
IDAHO FALLS, ID 83404

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 Grand Teton Surgical Center LLC's NPI number?

The NPI number for Grand Teton Surgical Center LLC is 1841295227. It was assigned to this organization in the NPPES registry on June 14, 2005.

Where is Grand Teton Surgical Center LLC located?

Grand Teton Surgical Center LLC is located at 2290 Coronado St, Idaho Falls, ID 83404. The listed phone number is (208) 524-3800.

What is Grand Teton Surgical Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

What insurance does Grand Teton Surgical Center LLC accept?

Health plans from Providence Health Plan and University of Utah Health Plans list Grand Teton Surgical Center LLC 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 Grand Teton Surgical Center LLC was last updated on March 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.