POWELL VALLEY HEALTH CARE, INC.
Medical Equipment Supplier Yellow Pages
Powell, Wyoming
Provider NPI: 1104965003
Organization Information:Organization Name: POWELL VALLEY HEALTH CARE, INC.
Practice Location:
777 AVENUE H POWELL, WY 82435 US
Tel: 307-754-1125 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
777 AVENUE H POWELL, WY 82435 US
Tel: 307-754-1125 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336L0003X | Suppliers Pharmacy Long Term Care Pharmacy | WY | 5201342 |
N | 3336C0003X | Suppliers Pharmacy | ||
Y | 3336I0012X | Suppliers Pharmacy | WY | 5201342 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PART D CAREMARXK PROVIDER | 520134 | WY | 01 |
PART D RX SOLUTIONS PROV | 5201342 | WY | 01 |
107049500 | WY | 05 | |
BCBS PROVIDER # | 007203 | WY | 01 |
NCPDP | 5201342 | WY | 01 |
107049502 | WY | 05 | |
107185807 | WY | 05 | |
PART D AETNA PROVIDER # | 5201342 | WY | 01 |
DEA | BP3284471 | WY | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin