Organization
POWELL VALLEY HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY ODOM (CEO)
(307) 754-2267
Entity
Organization
Contact information
Practice address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-2267
(307) 754-1176
Mailing address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-2267
(307) 754-1176
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
09097
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0441857
—
MT
05
—
107185805
—
WY
Enumeration date
10/01/2008
Last updated
07/16/2020
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