POWELL HEALTH CARE COALITION (NPI# 1538623665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538623665 |
| Entity Type | Organization |
| Organization Name | POWELL HEALTH CARE COALITION |
| Other Organization Name | HERITAGE HEALTH CENTER |
| Practice Address |
444 Greybull Ave Greybull WY 82426-2037 |
| Mailing Address |
Po Box 23 Powell WY 82435-0023 |
| Practice Telephone | 3077644107 |
| Mailing Telephone | 3077641602 |
| Mailing Fax Number | 3077641879 |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2020-03-30 |
| Authorized Official Name | COLETTE MILD (CEO) |
| Authorized Official Telephone | 3077641601 |
| Is Organization Subpart | Y |
| Parent Organization Name | POWELL HEALTH CARE COALITION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Heritage Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568846962 | Powell Health Care Coalition | Clinic/Center | 128 N. Bent St, Powell, WY 82435-2712 | 2015-07-15 |
| Street Address |
444 GREYBULL AVE |
| City | GREYBULL |
| State | WY |
| Zip Code | 82426-2037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356817118 | Greybull Dental | Dentist | 337 Greybull Ave, Greybull, WY 82426 | 2018-10-19 |
| 1114113511 | Shopko Stores Operating Co LLC | Pharmacy | 925 N 6th Street, Greybull, WY 82426 | 2007-09-19 |
| 1831690841 | Tenika Leigh Eardley | Dietitian, Registered | 1351 N 8th St, Greybull, WY 82426-1504 | 2018-02-24 |
| 1770107948 | Big Horn Nutrition, LLC | Dietitian, Registered | 1351 N 8th St, Greybull, WY 82426-1504 | 2020-06-03 |
| 1215330626 | Brandon Winters Tolman | Pharmacist | 925 N 6th St, Greybull, WY 82426-1610 | 2014-09-30 |
| 1396200770 | Greybull Drug | Pharmacy | 925 N 6th St, Greybull, WY 82426-1610 | 2019-02-09 |
| 1710453956 | Ross A Davidson | Pharmacist | 925 N 6th St, Greybull, WY 82426-1610 | 2018-10-15 |
| 1437369451 | Julie C. Vanderploeg | Counselor | 1040 N 6th St, Greybull, WY 82426-1613 | 2007-05-22 |
| 1578879748 | Roxanne Getzfreid | Registered Nurse | 308 4th Ave N, Greybull, WY 82426-1924 | 2010-08-26 |
| 1811064207 | Brett Jay Ohman | Chiropractor | 516 1st Ave N, Greybull, WY 82426-2009 | 2006-11-29 |
| Find all providers in zip 82426 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376004663 | Wind River Family & Community Health Care | Clinic/Center | 10266 Hwy 789, Arapahoe, WY 82510 | 2019-03-28 |
| 1447710843 | Wind River Family and Community Health Care | Clinic/Center | 510 Ethete Road, Ethete, WY 82520 | 2019-03-21 |
| 1366914889 | Community Health Center of Central Wyoming Inc | Clinic/Center | 704 Fremont Ave, Riverton, WY 82501 | 2018-12-21 |
| 1457823007 | Community Health Center of Central Wyoming Inc | Clinic/Center | 223 N Cherry St, Pavillion, WY 82523-5005 | 2018-12-20 |
| 1699292391 | Wind River Cares Riverton | Clinic/Center | 511 North 12 Street East, Riverton, WY 82501 | 2017-08-24 |
| 1558735308 | Montana Migrant and Seasonal Farmworkers Council, Inc. | Clinic/Center | 212 West 6th Street, Powell, WY 82435-1809 | 2015-11-17 |
| 1568846962 | Powell Health Care Coalition | Clinic/Center | 128 N. Bent St, Powell, WY 82435-2712 | 2015-07-15 |
| 1073953287 | Wyoming Health Council | Clinic/Center | 615 E 7th St, Powell, WY 82435-1643 | 2013-07-02 |
| 1275810160 | Community Health Center of Central Wyoming Inc | Clinic/Center | 2002 W. Sunset Dr., Suite 2, Riverton, WY 82501-2285 | 2011-11-07 |
| 1700964699 | Wind River Health Systems | Clinic/Center | 5647 Us Hwy 26, Dubois, WY 82513-0577 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.