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Organization

BIGHORN VALLEY HEALTH CENTER INCORPORATED

Active
Parent organization
POWELL HEALTH CARE COALITION
Other names
ONE HEALTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
POWELL HEALTH CARE COALITION
Authorized official
DAVID ANDREW MARK MD (CEO)
(406) 665-4103
Entity
Organization

Contact information

Practice address
444 GREYBULL AVE, GREYBULL, WY 82426-2037
(307) 764-4107
Mailing address
130 N BENT ST STE B, POWELL, WY 82435-2742
(307) 764-1602
(307) 764-1879

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
01/23/2019
Last updated
10/20/2022
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