POWELL VALLEY HEALTH CARE INC NPI 1780745885

NPI Information

NPI: 1780745885
Provider Name: POWELL VALLEY HEALTH CARE INC
Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
Address:
777 AVENUE H
POWELL, WY
ZIP 82435
Phone: (307) 754-1101
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POWELL VALLEY HEALTH CARE INC is a medicare defined swing bed unit in Powell, WY. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. POWELL VALLEY HEALTH CARE INC NPI is 1780745885. The provider is registered as an organization entity type.

The provider's business location address is:

777 AVENUE H
POWELL, WY
ZIP 82435-260
Phone: (307) 754-1101
Fax: (307) 754-3176

The provider's authorized official is Terry Odom .
The authorized official title is Ceo and has the following contact phone number (307) 754-1101.

The enumeration date for this NPI number is 12/12/2006 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	License Number	License State	Primary
1	275N00000X	Medicare Defined Swing Bed Unit		07084	WYOMING	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	107185803	MEDICAID	WYOMING
2	007203	OTHER	WYOMING	BCBS PROVIDER #

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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