POWELL VALLEY HEALTHCARE INC. NPI 1699721316

NPI Information

NPI: 1699721316
Provider Name: POWELL VALLEY HEALTHCARE INC.

Doing Business As: POWELL VALLEY CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
777 AVENUE H
POWELL, WY
ZIP 82435
Phone: (307) 754-7257
Get Directions

POWELL VALLEY HEALTHCARE INC. is a family medicine in Powell, WY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. POWELL VALLEY HEALTHCARE INC. NPI is 1699721316. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Powell Valley Clinic.

The provider's business location address is:

777 AVENUE H
POWELL, WY
ZIP 82435-260
Phone: (307) 754-7257

The provider's authorized official is Terry Odom .
The authorized official title is Ceo and has the following contact phone number (307) 754-2267.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 10/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207L00000X	Anesthesiology		No
2	207P00000X	Emergency Medicine		No
3	207R00000X	Internal Medicine		No
4	207V00000X	Obstetrics & Gynecology		No
5	207X00000X	Orthopaedic Surgery		No
6	261QU0200X	Clinic/Center	Urgent Care	No
7	332B00000X	Durable Medical Equipment & Medical Supplies		No
8	2085R0202X	Radiology	Diagnostic Radiology	No
9	207XS0106X	Orthopaedic Surgery	Hand Surgery	No
10	208000000X	Pediatrics		No
11	208600000X	Surgery		No
12	207Q00000X	Family Medicine		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	107186600	MEDICAID	WYOMING
2	185760500	OTHER	WYOMING	FEDERAL W/C
3	107186601	MEDICAID	WYOMING
4	00903001	OTHER	WYOMING	BLUECROSS BLUESHIELD
5	CG7216	OTHER	WYOMING	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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