Organization
POWELL VALLEY HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRY ODOM (CEO)
(307) 754-1107
Entity
Organization
Contact information
Practice address
777 AVENUE H, POWELL, WY 82435
(307) 754-1101
(307) 754-3176
Mailing address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-2267
(307) 754-3176
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
07084
WY
282NR1301X
Rural Acute Care Hospital
10207
WY
3416L0300X
Land Ambulance
065
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007203
BCBS PROVIDER NUMBER
WY
05
—
107185800
—
WY
05
—
107185805
—
WY
05
—
107185807
—
WY
05
—
107185809
—
WY
Enumeration date
07/08/2005
Last updated
02/07/2022
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