Powell Valley Health Care, Inc.
NPI 1104965003 · Institutional Pharmacy · Powell, WY
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Powell Valley Health Care, Inc. is a Institutional Pharmacy organization in Powell, WY (NPI 1104965003).
Provider details
- NPI number
- 1104965003
- Entity type
- Organization
- Primary specialty
- Institutional PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Terry Odom, Ceo(307) 754-1179
- License
- 5201342 (WY)
Specialties & taxonomies
Suppliers
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2023-03-07
- Certified
- 2022-01-10
Frequently asked questions
- What is Powell Valley Health Care, Inc.'s NPI number?
- Powell Valley Health Care, Inc.'s National Provider Identifier (NPI) is 1104965003, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Powell Valley Health Care, Inc.?
- Powell Valley Health Care, Inc. is classified in the NPPES registry as Institutional Pharmacy (Suppliers).
- Where is Powell Valley Health Care, Inc. located?
- Powell Valley Health Care, Inc.'s practice location on file with NPPES is 777 Avenue H, Powell, WY 82435-2260.
- What is Powell Valley Health Care, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Powell Valley Health Care, Inc. is (307) 754-1125.
- Does Powell Valley Health Care, Inc. accept Medicare?
- Powell Valley Health Care, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Powell Valley Health Care, Inc.?
- The authorized official listed on Powell Valley Health Care, Inc.'s NPPES record is Terry Odom, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Powell Valley Health Care, Inc.'s NPI active?
- Yes — Powell Valley Health Care, Inc.'s NPI (1104965003) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.