Organization
POWELL VALLEY HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROD BARTON (CEO)
(307) 754-1101
Entity
Organization
Contact information
Practice address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-1101
(307) 754-3176
Mailing address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-1101
(307) 754-3176
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
07035
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007203
BCBS PROVIDER #
WY
Enumeration date
12/14/2006
Last updated
08/22/2020
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