Provider Information for 1558400192
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POWELL VALLEY HEALTH CARE INC
Organization Subpart: NO
NPI: 1558400192
Last Updated: 2023-03-07
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||||||||||||||
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| NPI | 1558400192 | ||||||||||||||||||||||||||||
| Enumeration Date | 2007-02-06 | ||||||||||||||||||||||||||||
| NPI Type | NPI-2 Organization | ||||||||||||||||||||||||||||
| Status | Active | ||||||||||||||||||||||||||||
| Authorized Official Information | Name: Mr. STEVE RAMSEY CFO Title: CFO Phone: 3077541125 | ||||||||||||||||||||||||||||
| Mailing Address | 777 AVENUE H POWELL, WY 82435-2260 United States Phone: 307-754-2267 | Fax:307-754-1176 | ||||||||||||||||||||||||||||
| Primary Practice Address | 777 AVENUE H POWELL, WY 82435-2260 United States Phone: 307-754-2267 | Fax:307-754-1176 | ||||||||||||||||||||||||||||
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