POWELL VALLEY HEALTH CARE INC (NPI# 1780745885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780745885 |
| Entity Type | Organization |
| Organization Name | POWELL VALLEY HEALTH CARE INC |
| Practice Address |
777 Avenue H Powell WY 82435-2260 |
| Practice Telephone | 3077541101 |
| Practice Fax Number | 3077543176 |
| Mailing Telephone | 3077541101 |
| Mailing Fax Number | 3077543176 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | TERRY ODOM (CEO) |
| Authorized Official Telephone | 3077541101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 07084 | WY | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 107185803 | 05 | |
| WY | BCBS PROVIDER # | 007203 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427209071 | Powell Valley Health Care Inc | Ambulance | 777 Avenue H, Powell, WY 82435-2260 | 2008-10-01 |
| 1558400192 | Powell Valley Health Care Inc | Pharmacy | 777 Avenue H, Powell, WY 82435-2260 | 2007-02-06 |
| 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 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| 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. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417570961 | Metro Knoxville Hma LLC | Medicare Defined Swing Bed Unit | 7565 Dannaher Dr, Powell, TN 37849-4029 | 2020-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730132523 | North Lincoln County Hospital District | Medicare Defined Swing Bed Unit | 901 Adams, Afton, WY 83110-9621 | 2006-05-19 |
| 1891006839 | Memorial Hospital of Carbon County | Medicare Defined Swing Bed Unit | 2221 Elm St, Rawlins, WY 82301-5108 | 2010-06-24 |
| 1881834927 | South Lincoln Hospital District | Medicare Defined Swing Bed Unit | 711 Onyx St, Kemmerer, WY 83101-3214 | 2009-03-03 |
| 1134364888 | South Big Horn County Hospital District | Medicare Defined Swing Bed Unit | 388 Us Highway 20 S, Basin, WY 82410-8902 | 2008-12-10 |
| 1801929997 | Teton County Hospital District | Medicare Defined Swing Bed Unit | 625 E Broadway, Jackson, WY 83001-0428 | 2007-03-14 |
| 1184753261 | Memorial Hospital of Sheridan County | Medicare Defined Swing Bed Unit | 1401 W 5th St, Sheridan, WY 82801-2705 | 2007-03-05 |
| 1356493068 | Community Hospital | Medicare Defined Swing Bed Unit | 2000 Campbell Dr, Torrington, WY 82240-1528 | 2007-01-16 |
| 1457403073 | Platte County Memorial Hospital | Medicare Defined Swing Bed Unit | 201 14th St, Wheatland, WY 82201-3201 | 2007-01-16 |
| 1366594988 | Washakie Medical Center | Medicare Defined Swing Bed Unit | 400 S 15th St, Worland, WY 82401-3531 | 2007-01-16 |
| 1407914286 | Hot Springs County Hospital District | Medicare Defined Swing Bed Unit | 150 E Arapahoe St, Thermopolis, WY 82443-2402 | 2006-12-05 |
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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.