TETON COUNTY HOSPITAL DISTRICT
TETON COUNTY HOSPITAL DISTRICT is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1568493989, based in Jackson, WY. It is classified under Community Based Hospice Care Agency.
Getting there
The practice address on file is 555 E BROADWAY AVE SUITE #115, Jackson, WY 83001. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 15121 | WY | Community Based Hospice Care Agency primary |
This provider holds licence 15121 issued in WY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part A Provider - Hospice
- PAC ID
- 4880582295
- Enrollment ID
- O20080402000363
Medicare enrolment is recorded as approved under the provider type Part A Provider - Hospice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Hospice Care, Community Based covers
Definition to come... NUCC Health Care Provider Taxonomy, code 251G00000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1568493989 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 5, 2006 |
| Last updated | Feb 2, 2026 |
| Status | Active |
| Practice address |
555 E BROADWAY AVE SUITE #115 Jackson, WY 83001 (307) 739-7465 Fax (307) 739-7645 |
| Mailing address |
PO BOX 428 Jackson, WY 83001 |
| Other identifiers |
106299916
· Medicaid (WY) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 6 | 8 | 4 | 9 | 3 | 9 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 3 | 8 | 8 | 9 | 6 | 9 | 7 |
Sum = 81 · next multiple of 10 = 90 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.