Powell Valley Health Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

07035 Issued in WY

Legal business name

POWELL VALLEY HEALTH CARE INC

Practice address

777 Avenue H
Powell, WY 82435-2260

Phone

(307) 754-1101

Fax

(307) 754-3176

NPI assigned

Dec 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rod Barton

Title

Ceo

Phone

(307) 754-1101

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124180393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 AVENUE H",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352260",
            "telephone_number": "307-754-1101",
            "fax_number": "307-754-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 AVENUE H",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352260",
            "telephone_number": "307-754-1101",
            "fax_number": "307-754-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL VALLEY HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "ROD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "307-754-1101"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "WY",
            "license": "07035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "007203",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Powell Valley Health Care Inc
• Powell Valley Health Care Inc
• Powell Valley Health Care Inc
• Powell Valley Health Care Inc
• Powell Valley Health Care Inc

• Community Based Hospice Care Agency in Powell, WY
• Providers in Powell, WY by specialty
• Community Based Hospice Care Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.