Powell Valley Health Care, Inc. in Powell - Long Term Care Pharmacy
Powell Valley Health Care, Inc. - NPI 1104965003
Powell Valley Health Care, Inc. is a Long Term Care Pharmacy in Powell, . Powell Valley Health Care, Inc. practices all healthcare services and medical treatments related to Long Term Care Pharmacy. The NPI Number for Powell Valley Health Care, Inc. is 1104965003. The last update date is 2023-03-07.
Powell Valley Health Care, Inc.'s current location address is 777 Avenue H, Powell, . You can contact this provider via phone number 3077541125 and fax number 3077541176. The mailing address for Powell Valley Health Care, Inc. is 777 Avenue H, Powell, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Powell Valley Health Care, Inc. |
|---|---|
| Address | 777 Avenue H, Powell, |
| Phone Number | 3077541125 |
| Fax Number | 3077541176 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Odom Terry |
| Credentials | CEO |
| Telephone Number | 3077541179 |
NPI Number Detail
| NPI Number | 1104965003 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 777 Avenue H |
|---|---|
| City | Powell |
| State | (WY) |
| Post Code | 824352260 |
| Phone Number | 3077541125 |
| Fax Number | 3077541176 |
Provider's Primary Taxonomy Detail
| Speciality | Long Term Care Pharmacy |
|---|---|
| Taxonomy | 3336L0003X |
| Licence No | 5201342 |
|
Definition: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregat |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7203 | WY | BCBS PROVIDER # | |
| 5201342 | WY | PART D RX SOLUTIONS PROV | |
| 107049500 | WY | -- | |
| 107049502 | WY | -- | |
| 107185807 | WY | -- | |
| 520134 | WY | PART D CAREMARXK PROVIDER | |
| 5201342 | WY | PART D AETNA PROVIDER # | |
| 5201342 | WY | NCPDP |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Powell Valley Health Care, Inc. by the Centers for Medicare & Medicaid Services?
The Powell Valley Health Care, Inc. has been assigned the NPI (National Provider Identifier) 1104965003 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Powell Valley Health Care, Inc. is located?
The Powell Valley Health Care, Inc. is situated at the following address: 777 Avenue H, Powell, WY, 824352260.
What is the Powell Valley Health Care, Inc.'s specialty and taxonomy code?
The Powell Valley Health Care, Inc.'s specialty is Long Term Care Pharmacy, and the corresponding taxonomy code is 3336L0003X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104965003 to Powell Valley Health Care, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1104965003 to Powell Valley Health Care, Inc. on 2007-02-06.
As of what date were the details pertaining to Powell Valley Health Care, Inc. last refreshed?
The information related to the Powell Valley Health Care, Inc., including its address, specialty, and other relevant details, was last updated on 2023-03-07.
NPI Number: 1053314252
Address: 10220 Prairie Ridge Blvd, Pleasant Prairie, WI
NPI Number: 1720081912
Address: 111 Edgartown Rd, Vineyard Haven, MA