Bighorn Valley Health Center Incorporated

NPI #1164196549 in Powell, Wyoming

Provider Information

NPI Number: 1164196549
Entity Type: Organization
Organization Name: Bighorn Valley Health Center Incorporated
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Aug 9, 2021
Last Updated: Oct 20, 2022

Practice Location

Address: 126 N BENT ST
City: Powell
State: Wyoming
ZIP Code: 82435-2712
Phone: (307) 764-4107

Authorized Official

Name: DAVID ANDREW MARK, MD
Title: CEO
Phone: (406) 665-4103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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