POWELL VALLEY HEALTH CARE INC; NPI #1427209071

Contact Information

POWELL VALLEY HEALTH CARE INC

777 AVENUE H
POWELL, WY 82435-2260

Phone: 307-754-2267
Fax: 307-754-1176
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for POWELL VALLEY HEALTH CARE INC

NPI Number 1427209071

LBN Legal business name POWELL VALLEY HEALTH CARE INC

Authorized official TERRY ODOM - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/01/2008

Last updated 07/16/2020 - About 6 years ago

Identifiers

WY	License #	09097
MT	Medicaid	0441857
WY	Medicaid	107185805

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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