VICTOR MEDICAL CLINIC
NPI 1881734135
Family Medicine in Victor, ID

Active since February 07, 2007
252 SOUTH MAIN STREET, VICTOR, ID 83455(208) 354-6307(208) 787-7456 Get Directions Write a Review

NPPES record last updated: November 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Victor Medical Clinic NPPES

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

VICTOR MEDICAL CLINIC (NPI 1881734135) is a healthcare organization registered as a family medicine in Victor, Idaho and active in the NPI registry since February 2007. The organization lists Laura C Piquet, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1881734135
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTETON VALLEY HOSITAL & SURGICENTER
Location Address252 SOUTH MAIN STREETVictor, ID 83455
Mailing Address120 East Howard AvenueDriggs, ID 83422-5112 · (208) 354-6307 · Fax (208) 787-7456
Fax(208) 787-7456
Organization SubpartYesParent: Teton Valley Hospital & Surgicenter
Authorized OfficialLaura C PiquetOperations Manager · (208) 354-6302
Enumeration DateFebruary 7, 2007
Last NPPES UpdateNovember 18, 2010
NPI 1881734135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ID · 31
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 31 (ID)
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 31 (ID)
Also ListedPediatricsTaxonomy 208000000X · License 31 (ID)
Also ListedSurgeryTaxonomy 208600000X · License 31 (ID)
Also ListedUrologyTaxonomy 208800000X · License 31 (ID)
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 31 (ID)
252 SOUTH MAIN STREET, Victor, ID 83455

Other Names 1

Doing Business AsVictor Medical Clinic

Other Identifiers 6

Other000010031568ID · Regence Blue Shield
Medicare OSCAR/certification138510ID
Medicaid807736300ID
Medicare ID-Type Unspecified133852ID · Rhc
Medicare PIN1378410ID
Other8M954ID · Blue Cross

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

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 Hosital & Surgicenter's NPI number?

The NPI number for Teton Valley Hosital & Surgicenter is 1881734135. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is doing business as Victor Medical Clinic.

Where is Teton Valley Hosital & Surgicenter located?

Teton Valley Hosital & Surgicenter is located at 252 South Main Street, Victor, ID 83455. The listed phone number is (208) 354-6307.

What is Teton Valley Hosital & Surgicenter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Teton Valley Hosital & Surgicenter was last updated on November 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.