POWELL HEALTH CARE COALITION (NPI# 1568846962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568846962 |
| Entity Type | Organization |
| Organization Name | POWELL HEALTH CARE COALITION |
| Other Organization Name | HERITAGE HEALTH CENTER |
| Practice Address |
128 N. Bent St Powell WY 82435-2712 |
| Mailing Address |
128 N. Bent St Po Box 23 Powell WY 82435-2712 |
| Practice Telephone | 3077644107 |
| Practice Fax Number | 3077641879 |
| Mailing Telephone | 3077644107 |
| Mailing Fax Number | 3077641879 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2018-05-01 |
| Authorized Official Name | COLETTE MILD (CEO) |
| Authorized Official Telephone | 3077641601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 143284200 | 05 |
| Other Name | Type Code |
|---|---|
| Heritage Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538623665 | Powell Health Care Coalition | Clinic/Center | 444 Greybull Ave, Greybull, WY 82426-2037 | 2019-01-23 |
| Street Address |
128 N. BENT ST |
| City | POWELL |
| State | WY |
| Zip Code | 82435-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841762648 | Cynthia Jean Garhart | Counselor | 235 East 2nd Street, Powell, WY 82435 | 2018-12-19 |
| 1982114138 | Peggy Ruth Cheatham | Case Manager/Care Coordinator | 317 S Day St, Powell, WY 82435 | 2017-10-02 |
| 1669921532 | Heavens Peak Behavioral Health Services, Ins | Clinic/Center | 64 Safe Haven Rd, Powell, WY 82435 | 2016-10-03 |
| 1730636895 | Kara Baus | Registered Nurse | 112 Safe Haven Road, Powell, WY 82435 | 2016-09-07 |
| 1942620208 | Susan C Hawkinson | Speech-Language Pathologist | 558 E 2nd St., Children's Resource Center Attention: Ila Jean Jenkins, Powell, WY 82435 | 2014-04-24 |
| 1376963801 | Shelby Marie Frost | Nurse Practitioner | 246 N Absaroka St, Powell, WY 82435 | 2014-04-23 |
| 1578993549 | Doni Lauk | Case Management | 458 S Ferris St, Powell, WY 82435 | 2013-11-12 |
| 1144579731 | Move On Physical Therapy, Inc. | Physical Therapist | 1201 E. 7th Street, Powell, WY 82435 | 2012-08-29 |
| 1992008841 | Justin Dean Mccoll | Counselor | 89 Rd 8 Ra, Powell, WY 82435 | 2010-12-15 |
| 1588977250 | James Lloyd | Obstetrics & Gynecology | 777 Ave H., Powell Valley Healthcare, Powell, WY 82435 | 2010-07-22 |
| Find all providers in zip 82435 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558735308 | Montana Migrant and Seasonal Farmworkers Council, Inc. | Clinic/Center | 212 West 6th Street, Powell, WY 82435-1809 | 2015-11-17 |
| 1073953287 | Wyoming Health Council | Clinic/Center | 615 E 7th St, Powell, WY 82435-1643 | 2013-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376004663 | Wind River Family & Community Health Care | Clinic/Center | 10266 Hwy 789, Arapahoe, WY 82510 | 2019-03-28 |
| 1447710843 | Wind River Family and Community Health Care | Clinic/Center | 510 Ethete Road, Ethete, WY 82520 | 2019-03-21 |
| 1538623665 | Powell Health Care Coalition | Clinic/Center | 444 Greybull Ave, Greybull, WY 82426-2037 | 2019-01-23 |
| 1366914889 | Community Health Center of Central Wyoming Inc | Clinic/Center | 704 Fremont Ave, Riverton, WY 82501 | 2018-12-21 |
| 1457823007 | Community Health Center of Central Wyoming Inc | Clinic/Center | 223 N Cherry St, Pavillion, WY 82523-5005 | 2018-12-20 |
| 1699292391 | Wind River Cares Riverton | Clinic/Center | 511 North 12 Street East, Riverton, WY 82501 | 2017-08-24 |
| 1275810160 | Community Health Center of Central Wyoming Inc | Clinic/Center | 2002 W. Sunset Dr., Suite 2, Riverton, WY 82501-2285 | 2011-11-07 |
| 1700964699 | Wind River Health Systems | Clinic/Center | 5647 Us Hwy 26, Dubois, WY 82513-0577 | 2006-11-01 |
| 1770518532 | Indian Health Service | Clinic/Center | Bldg. 29 Black Coal Drive, Fort Washakie, WY 82514-0128 | 2006-07-11 |
| 1285193060 | Wind River Family & Community Health Care | Clinic/Center | 511 N 12th St E, Riverton, WY 82501-3809 | 2019-03-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.