Organization
POWELL VALLEY HEALTHCARE INC
Active
Other names
Powell Valley Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE OSTERMILLER (COO)
(307) 754-2267
Entity
Organization
Contact information
Practice address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-7257
Mailing address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-7257
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00903001
BLUECROSS BLUESHIELD
WY
05
—
107186600
—
WY
05
—
107186601
—
WY
01
—
185760500
FEDERAL W/C
WY
01
—
CG7216
RAILROAD MEDICARE
WY
Enumeration date
05/25/2006
Last updated
06/09/2025
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