VICTOR MEDICAL CLINIC – NPI #1881734135
Family Medicine

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.

VICTOR MEDICAL CLINIC is a provider located in VICTOR, ID. NPPES has assigned the NPI number 1881734135 to VICTOR MEDICAL CLINIC on February 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “VICTOR MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is TETON VALLEY HOSITAL & SURGICENTER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 16 years ago on Nov 18, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VICTOR MEDICAL CLINIC below.

NPI Profile for
TETON VALLEY HOSITAL & SURGICENTER

NPI Number
1881734135
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TETON VALLEY HOSITAL & SURGICENTER
Doing Business As (dba): VICTOR MEDICAL CLINIC
Primary location
252 SOUTH MAIN STREET
VICTOR, ID 83455
Phone: (208) 354-6307 Fax: (208) 787-7456
Mailing address
120 EAST HOWARD AVENUE
DRIGGS, ID 83422-5112
Phone: (208) 354-6307 Fax: (208) 787-7456
Organization Subpart
Yes - VICTOR MEDICAL CLINIC is subpart of another organization.
Authorized Official
LAURA PIQUET
OPERATIONS MANAGER
Phone: (208) 354-6302
Updated
Identifiers

Identifiers for VICTOR MEDICAL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSSID8M954
OTHERREGENCE BLUE SHIELDID000010031568
MEDICAIDID807736300
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
ID 31
208VP0014X
- Pain Medicine / Interventional Pain Medicine
ID 31
208800000X
- Urology
ID 31
208600000X
- Surgery
ID 31
208000000X
- Pediatrics
ID 31
207X00000X
- Orthopaedic Surgery
ID 31
1041C0700X
- Social Worker / Clinical
ID 31

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.