Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Grand Teton Surgical Center LLC

Ambulatory Surgical Clinic/Center in Idaho Falls, ID · enumerated 2005 · authorized official Teresa Wellard, Director of Nursing.

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

National Provider Identifier

1841295227

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Registry record

Entity type Organization (Type 2)

Legal business name Grand Teton Surgical Center LLC

Practice address 2290 Coronado St, Idaho Falls, ID, 83404

Phone (208) 524-3800

Fax (208) 524-3805

Enumeration date Jun 14, 2005

Last updated in NPPES Mar 2, 2010

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Teresa Wellard

Title Director of Nursing

Phone (208) 524-3800

Other identifiers

Identifier	Type	State	Issuer
03772	Other	ID	BLUE CROSS
000010005323	Other	ID	REGENCE BLUE SHIELD
805482600	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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-03-02. Verify at npiregistry.cms.hhs.gov.

Where is Grand Teton Surgical Center LLC located?

The practice location on file with NPPES is in Idaho Falls, ID.

Providers at this address

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David Swope Certified Registered Nurse Anesthetist · Idaho Falls, ID NPI 1033470216

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-03-02.