NPI: 1538623665 · GREYBULL, WY 82426 · Federally Qualified Health Center (FQHC) · NPI assigned 01/23/2019
Authorized official MARK, DAVID controls 19+ related entities in our dataset. Read more
| Authorized Official | MARK, DAVID (CEO) |
| Parent Organization | POWELL HEALTH CARE COALITION |
| NPI Enumeration Date | 01/23/2019 |
Other providers sharing the same authorized official: MARK, DAVID
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 15 | $3K |
| 2023 | 12 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 27 | 26 | $4K |