POWELL VALLEY HEALTH CARE INC (NPI# 1558400192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558400192 |
| Entity Type | Organization |
| Organization Name | POWELL VALLEY HEALTH CARE INC |
| Practice Address |
777 Avenue H Powell WY 82435-2260 |
| Practice Telephone | 3077542267 |
| Practice Fax Number | 3077541176 |
| Mailing Telephone | 3077542267 |
| Mailing Fax Number | 3077541176 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STEVE RAMSEY (CFO) |
| Authorized Official Telephone | 3077541125 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 5201342 | WY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | BCBS PROVIDER # | 007203 | 01 |
| WY | NCPDP | 5201342 | 01 |
| WY | 107049502 | 05 | |
| WY | DEA | BP3284471 | 01 |
| WY | 107185807 | 05 | |
| WY | 107049500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427209071 | Powell Valley Health Care Inc | Ambulance | 777 Avenue H, Powell, WY 82435-2260 | 2008-10-01 |
| 1124180393 | Powell Valley Health Care Inc | Hospice Care, Community Based | 777 Avenue H, Powell, WY 82435-2260 | 2006-12-14 |
| 1851452965 | Powell Valley Health Care Inc | Home Health | 777 Avenue H, Powell, WY 82435-2260 | 2006-12-12 |
| 1932260049 | Powell Valley Health Care Inc | Nursing Facility/Intermediate Care Facility | 777 Avenue H, Powell, WY 82435-2260 | 2006-12-12 |
| 1841351954 | Powell Valley Health Care Inc | Durable Medical Equipment & Medical Supplies | 777 Avenue H, Powell, WY 82435-2260 | 2006-12-12 |
| 1780745885 | Powell Valley Health Care Inc | Medicare Defined Swing Bed Unit | 777 Avenue H, Powell, WY 82435-2260 | 2006-12-12 |
| 1497753115 | Powell Valley Health Care Inc | General Acute Care Hospital | 777 Avenue H, Powell, WY 82435 | 2005-07-08 |
| Street Address |
777 AVENUE H |
| City | POWELL |
| State | WY |
| Zip Code | 82435-2260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114923463 | Duncan Hugh Fraser | Podiatrist | 777 Avenue H, Powell, WY 82435-2260 | 2005-06-22 |
| 1639782790 | Nicolle Rae Cruz | Pharmacist | 777 Avenue H, Powell, WY 82435-2260 | 2020-08-28 |
| 1043843485 | Jessica Lee Mathews | Emergency Medical Technician, Paramedic | 777 Avenue H, Powell, WY 82435-2260 | 2020-02-13 |
| 1073150926 | Mary Neal | Dietitian, Registered | 777 Avenue H, Powell, WY 82435-2260 | 2019-12-10 |
| 1609418334 | Randall Keith Baxter | Nurse Practitioner | 777 Avenue H, Powell, WY 82435-2260 | 2019-10-15 |
| 1508329582 | Ashley Dee Engesser | Advanced Practice Midwife | 777 Avenue H, Powell, WY 82435-2260 | 2019-04-08 |
| 1780149948 | Bryan Kenneth Tipton | Physician Assistant | 777 Avenue H, Powell, WY 82435-2260 | 2019-02-01 |
| 1811460397 | Katherine Lindsey Swope | Speech-Language Pathologist | 777 Avenue H, Powell, WY 82435-2260 | 2019-01-07 |
| 1629571963 | Big Horn Ankle & Foot LLC | Durable Medical Equipment & Medical Supplies | 777 Avenue H, Powell, WY 82435-2260 | 2018-03-13 |
| 1538687652 | Amanda Bisby | Nurse Practitioner | 777 Avenue H, Powell, WY 82435-2260 | 2017-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841762648 | Cynthia Jean Garhart | Counselor | 235 East 2nd Street, Powell, WY 82435 | 2018-12-19 |
| 1982114138 | Peggy Ruth Cheatham | Case Manager/Care Coordinator | 317 S Day St, Powell, WY 82435 | 2017-10-02 |
| 1669921532 | Heavens Peak Behavioral Health Services, Ins | Clinic/Center | 64 Safe Haven Rd, Powell, WY 82435 | 2016-10-03 |
| 1730636895 | Kara Baus | Registered Nurse | 112 Safe Haven Road, Powell, WY 82435 | 2016-09-07 |
| 1942620208 | Susan C Hawkinson | Speech-Language Pathologist | 558 E 2nd St., Children's Resource Center Attention: Ila Jean Jenkins, Powell, WY 82435 | 2014-04-24 |
| 1376963801 | Shelby Marie Frost | Nurse Practitioner | 246 N Absaroka St, Powell, WY 82435 | 2014-04-23 |
| 1578993549 | Doni Lauk | Case Management | 458 S Ferris St, Powell, WY 82435 | 2013-11-12 |
| 1144579731 | Move On Physical Therapy, Inc. | Physical Therapist | 1201 E. 7th Street, Powell, WY 82435 | 2012-08-29 |
| 1992008841 | Justin Dean Mccoll | Counselor | 89 Rd 8 Ra, Powell, WY 82435 | 2010-12-15 |
| 1588977250 | James Lloyd | Obstetrics & Gynecology | 777 Ave H., Powell Valley Healthcare, Powell, WY 82435 | 2010-07-22 |
| Find all providers in zip 82435 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124198205 | Disney Pharmacy Services Inc | Pharmacy | 2141 W Emory Rd, Powell, TN 37849-3704 | 2006-11-08 |
| 1821003773 | Ingles Markets Inc | Pharmacy | 430 E Emory Rd, Powell, TN 37849-3517 | 2006-07-29 |
| 1992740815 | Discount Drug Mart Inc | Pharmacy | 9965 Sawmill Pkwy, Powell, OH 43065-6670 | 2006-06-17 |
| 1508216029 | Kroger Limited Partnership I | Pharmacy | 234 E Emory Rd, Powell, TN 37849-4015 | 2016-06-15 |
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| 1356809032 | Cowboy Drug | Pharmacy | 977 Gilchrist St, Wheatland, WY 82201-2931 | 2019-03-12 |
| 1649737560 | Our Valley Pharmacy | Pharmacy | 307 South Washington, Afton, WY 83110 | 2019-02-27 |
| 1912462326 | South Lincoln Hospital District | Pharmacy | 2822 Wy 414, Lyman, WY 82937 | 2019-02-11 |
| 1649776642 | Community Pharmacies Inc | Pharmacy | 208 N Big Horn, Moorcroft, WY 82721 | 2018-03-30 |
| 1356797690 | Genoa Healthcare, LLC | Pharmacy | 1430 Wilkins Cir Ste 154, Casper, WY 82601-1336 | 2016-05-05 |
| 1841678935 | Our Valley Pharmacy | Pharmacy | 168 Us Highway 89, Suite D, Alpine, WY 83128 | 2015-05-11 |
| 1154661320 | Wyoming Medication Donation Program | Pharmacy | 2508 E Fox Farm Rd Ste 2a, Cheyenne, WY 82007-2559 | 2013-02-25 |
| 1568732501 | Bear Lake Community Health Center | Pharmacy | 75 Yellow Creek Rd # S-102, Evanston, WY 82930-5235 | 2012-01-09 |
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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.