OrganizationActive
Teton County Hospital District
NPI 1568493989 · Community Based Hospice Care Agency · Jackson, WY
Provider details
- NPI number
- 1568493989
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Parent organization
- Teton County Hospital District
- Organization subpart
- Yes
- Authorized official
- Mitchell Watson, Cfo(307) 739-7526
- License
- 15121 (WY)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
555 E Broadway Ave
Suite #115
Jackson, WY 83001-8640
Phone: (307) 739-7465
Fax: (307) 739-7645
Street-level locationGet directions
Mailing address
Po Box 428
Jackson, WY 83001-0428
Other names (DBA / former)
- Doing business as
- St Johns Hospice
- Doing business as
- St Johns Hospice
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2026-02-02
- Certified
- 2026-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.