Powell Valley Health Care, Inc.

LBN: Powell Valley Health Care, Inc.
Powell Valley Health Care, Inc. is an health care organization with primary practice located at 777 Avenue H , Powell WY 82435-2260. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. Powell Valley Health Care, Inc. can be contacted via phone (307) 754-1125, or through Odom, Terry via phone (307) 754-1179.

Contact Information

Primary practice address
777 Avenue H Powell WY 82435-2260
Phone: (307) 754-1125
Fax: (307) 754-1176
Website:
Map and Directions
Authorized official contact:
Name: Odom, Terry CEO
Phone: (307) 754-1179

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Institutional Pharmacy 3336I0012X 5201342 Wyoming
Suppliers / Long Term Care Pharmacy 3336L0003X 5201342 Wyoming

Profile Details

NPI number 1104965003
LBN Legal business name Powell Valley Health Care, Inc.
DBA Doing business as
Authorized official Odom, Terry CEO
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104965003 NPPES
Wyoming Other 007203 BCBS PROVIDER #
Wyoming Other 5201342 BCBS PROVIDER #
Wyoming MEDICAID 107049500 BCBS PROVIDER #
Wyoming MEDICAID 107049502 BCBS PROVIDER #
Wyoming MEDICAID 107185807 BCBS PROVIDER #
Wyoming Other 520134 BCBS PROVIDER #
Wyoming Other 5201342 BCBS PROVIDER #
Wyoming Other 5201342 BCBS PROVIDER #

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