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Powell Valley Health Care Inc
Nursing Facility/Intermediate Care Facility in Powell, Wyoming
NPI 1932260049

Powell Valley Health Care Inc is a Nursing Facility/Intermediate Care Facility based in Powell, WY. Powell Valley Health Care Inc practices in Powell, WY. The NPI Number for Powell Valley Health Care Inc is 1932260049 and holds a License No. 07067 (Wyoming).

The current practice location address for Powell Valley Health Care Inc is 777 Avenue H, Powell, WY and can be reached out via phone at 307-754-1101 and via fax at 307-754-3176.

Location: 777 Avenue H, Powell, WY, 82435-2260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932260049
Provider Name
Powell Valley Health Care Inc
Credential
Provider Entity Type
Organization
Address
777 Avenue H, Powell, WY, 82435-2260
Phone Number
307-754-1101
Fax Number
307-754-3176
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007203 01 WY BCBS PROVIDER #
107185806 05 WY
institution
Provider Business Practice Location Address Details
Address
777 Avenue H
City
Powell
State
Wyoming
Zip
82435-2260
Phone Number
307-754-1101
Fax Number
307-754-3176
person
Provider Business Mailing Address Details
Address
777 Avenue H
City
Powell
State
Wyoming
Zip
82435-2260
Phone Number
307-754-1101
Fax Number
307-754-3176
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
07067 (Wyoming)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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