POWELL VALLEY HEALTH CARE INC; NPI #1841351954

Contact Information

POWELL VALLEY HEALTH CARE INC

777 AVENUE H
POWELL, WY 82435-2260

Phone: 307-754-1101
Fax: 307-754-3179
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oxygen Equipment & Supplies	332BX2000X	B1	Oxygen supplier

Indicates primary specialty

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NPI Profile & details for POWELL VALLEY HEALTH CARE INC

NPI Number 1841351954

LBN Legal business name POWELL VALLEY HEALTH CARE INC

Authorized official TERRY ODOM - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/12/2006

Last updated 10/06/2015 - About 11 years ago

Identifiers

WY	License #	07084
WY	Medicaid	107185804
WY	Other	007203	BCBS PROVIDER #

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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