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Powell Valley Health Care, Inc.

Institutional Pharmacy in Powell, WY · enumerated 2007 · authorized official Terry Odom, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104965003

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Registry record

Entity type Organization (Type 2)
Legal business name Powell Valley Health Care, Inc.
Practice address 777 Avenue H, Powell, WY, 82435
Fax (307) 754-1176
Enumeration date Feb 6, 2007
Last updated in NPPES Mar 7, 2023

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers Secondary
3336I0012X Institutional Pharmacy Suppliers · License 5201342 (WY) Primary
3336L0003X Long Term Care Pharmacy Suppliers · License 5201342 (WY) Secondary

Authorized official

Name Terry Odom
Title Ceo

Other identifiers

Identifier Type State Issuer
007203 Other WY BCBS PROVIDER #
5201342 Other WY PART D RX SOLUTIONS PROV
107049500 Medicaid WY -
107049502 Medicaid WY -
107185807 Medicaid WY -
520134 Other WY PART D CAREMARXK PROVIDER
5201342 Other WY PART D AETNA PROVIDER #
5201342 Other WY NCPDP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Powell Valley Health Care, Inc.?
NPPES lists Terry Odom (Ceo) as the authorized official for this organization.
What is the NPI number for Powell Valley Health Care, Inc.?
The NPI for Powell Valley Health Care, Inc. is 1104965003, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.