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Grand Teton Service Group

Intellectual and/or Developmental Disabilities Residential Treatment Facility in Idaho Falls, ID · enumerated 2009 · authorized official Lisa Bowman, Program Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1548496201

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Registry record

Entity type Organization (Type 2)
Legal business name Grand Teton Service Group
Practice address 329 Park Ave, Idaho Falls, ID, 83402
Phone (208) 528-7443
Fax (208) 528-7321
Enumeration date Jun 8, 2009
Last updated in NPPES Jun 8, 2009

Taxonomy & classification

320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities · License RHA-313 (ID) Primary

Authorized official

Name Lisa Bowman
Title Program Director
Phone (208) 528-7443

Other identifiers

Identifier Type State Issuer
0026996 Medicaid ID -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Grand Teton Service Group?
NPPES lists Lisa Bowman (Program Director) as the authorized official for this organization.
What is the NPI number for Grand Teton Service Group?
The NPI for Grand Teton Service Group is 1548496201, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-06-08.