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POWELL VALLEY HEALTH CARE, INC.
NPI 1104965003
Pharmacy - Institutional Pharmacy in Powell, WY

Active since February 06, 2007CLIA Certified · 2 labs
777 AVENUE H, POWELL, WY 82435(307) 754-1125(307) 754-1176 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Jan 10, 2022, May 7, 2020 and 1 more (4 updates tracked since 2019).

About Powell Valley Health Care, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POWELL VALLEY HEALTH CARE, INC. (NPI 1104965003) is a healthcare organization registered as an institutional pharmacy in Powell, Wyoming and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Terry Odom, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104965003
Entity TypeOrganization
Primary Taxonomy3336I0012X
Legal Business NamePOWELL VALLEY HEALTH CARE, INC.
Location Address777 AVENUE HPowell, WY 82435-2260
Mailing Address777 Avenue HPowell, WY 82435-2260 · (307) 754-1125 · Fax (307) 754-1176
Phone(307) 754-1125
Fax(307) 754-1176
Organization SubpartNo
Authorized OfficialTerry OdomCeo · (307) 754-1179
Enumeration DateFebruary 6, 2007
Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2022
✔ NPI 1104965003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Institutional PharmacySuppliers
Taxonomy Code3336I0012X
License✔ Licensed in WY · 5201342
Definition
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X · License 5201342 (WY)
777 AVENUE H, Powell, WY 82435
Open in Google Maps ↗

Other Identifiers 8

Other007203WY · Bcbs Provider #
Other5201342WY · Part D Rx Solutions Prov
Medicaid107049500WY
Medicaid107049502WY
Medicaid107185807WY
Other520134WY · Part D Caremarxk Provider
Other5201342WY · Part D Aetna Provider #
Other5201342WY · Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Avera Health Plans and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 53D0681667

Powell Valley Health Care Laboratory · Powell, WY
Active · expires Aug 28, 2026
CLIA Number53D0681667
Laboratory TypeHospital
Certificate Effective DateAugust 29, 2024
Certificate Expiration DateAugust 28, 2026
Laboratory DirectorJoseph Krenzer
Laboratory Phone(307) 754-1232
Laboratory LocationPowell Valley Health Care Laboratory777 Avenue H, Powell, WY 82435
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 53D2130775

Powell Valley Healthcare Clinic · Powell, WY
Active · expires May 16, 2027
CLIA Number53D2130775
Laboratory TypePhysician Office
Certificate Effective DateMay 17, 2025
Certificate Expiration DateMay 16, 2027
Laboratory DirectorAlysia Kampbell
Laboratory Phone(307) 754-1232
Laboratory LocationPowell Valley Healthcare Clinic777 Avenue H, Powell, WY 82435
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARI ANN MCADAM PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-2267
DR. BRADLEY J NORTH DO
Emergency Medicine
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-2267
ROCKY MOUNTAIN RADIOLOGY SERVICES, LLC
Radiology (Diagnostic Radiology)
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-2267
CHRIS B HOELLWARTH CRNA
Nurse Anesthetist, Certified Registered
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-2267
MRS. JESSICA LEE MATHEWS COMMUNITY PARAMEDIC
Registered Nurse
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-1175
MARY NEAL
Dietitian, Registered
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-2267
BRETT SOLOAI
Occupational Therapist (Hand)
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-2267
LEXIE HILL DNP, FNP-BC
Nurse Practitioner (Family)
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-7257

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Powell Valley Health Care, Inc.'s NPI number?

The NPI number for Powell Valley Health Care, Inc. is 1104965003. It was assigned to this organization in the NPPES registry on February 6, 2007.

Where is Powell Valley Health Care, Inc. located?

Powell Valley Health Care, Inc. is located at 777 Avenue H, Powell, WY 82435. The listed phone number is (307) 754-1125.

What is Powell Valley Health Care, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Institutional Pharmacy, with taxonomy code 3336I0012X.

Does Powell Valley Health Care, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Powell Valley Health Care, Inc. accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 27 other insurers list Powell Valley Health Care, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Powell Valley Health Care, Inc. was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.