POWELL VALLEY HEALTHCARE

ADDRESS:
777 AVENUE H
POWELL, WYOMING 82435
PHONE: 307-754-2267
FAX: 307-754-3176

HOSPITAL AFFILIATION:

Hospital District; Powell Valley Health Care, Inc.
Brim Healthcare, Inc. – Management Company

INSTITUTIONAL AFFILIATIONS:

American Hospital Association: Yes

Voluntary Hospitals of America: No

APPROVALS AND REGISTRATIONS:

Accredited Hospital – JCAHO: No

Certified Hospital – Medicare: Yes

Number of Licensed Beds – Acute Care: 25

Number of Licensed Beds – Long Term Care (Attached Nursing Home): 100

Number of Approved – Swing Beds (included in Licensed Acute Care Beds): 100

POWELL HOSPITAL DISTRICT BOARD:

Brent Foulger, President
Doug Nissen, Vice-President
Rick Kwiecinski, Treasurer
Laura Birky, Secretary
Mark Kitchen
Kay Carlson

POWELL VALLEY HEALTH CARE, INC.

Mark Wurzel, MD, President
Doug Nissen, Vice-President
Rick Kwiecinski, Treasurer
Laura Birky, Secretary
Mike Tracy, MD, Chief of Staff
Mike Bohlman, MD
Kay Carlson
Brent Foulger
Mark Kitchen

AUXILIARY PRESIDENT:

Ann Lohoff

THOSE SERVICES PROVIDED UNDER A FORMAL CONTRACT ARRANGEMENT:

Rehabilitation Services — North Platte Physical Therapy

ADMINISTRATIVE TITLES:

Chief Executive Officer: Rod Barton, Ext. 103

Executive Secretary: Sharon Christensen, Ext. 103

Chief Financial Officer: Steve Ramsey, Ext. 125

Business Office Manager: Eunice Shepardson, Ext. 114

Personnel Director: Tami Lineback, Ext. 135

Chief of Medical Staff (through 2006): Mike Tracy, M.D.

Director of Patient Care Services: Faith Jones, RN, Ext. 153

Director of Resident Care Services: Cheri Benander, RN, Ext. 270

Director of PR/Marketing: Jim Cannon, Ext. 104

Director of Pharmacy: Tim Seeley, R.Ph., Ext. 279

Director of Ambulance Services: Lynne Seeley, Ext. 217

Director of Medical Records: Cheryl Fletcher, Ext. 132

Quality Improvement Coordinator: Donna Navarrete, RN, Ext. 260

Medical Staff Secretary: Sharon Christensen, Ext. 103

Director of Dietary: Sheila Pedersen, RD, Ext. 275

Director of Plant Operations: Chris Cooper, Ext. 143

Director of Laboratory: Rich Miller, Ext. 230

Director of Surgery: Audrey Harris, RN, Ext. 443

Respiratory Therapy: Diana Gorsuch, Ext. 227

Director of Volunteer Services: Jim Cannon, Ext. 104

Director of Housekeeping: Phyllis Shephard, Ext. 143

Director of Materials Management: Steve Ramsey, Ext. 125

DRG Coordinator: Donna Navarrete, RN, Ext. 260

Director of Social Work: Seth Johnson, Ext. 262

Institutional Attorney:
Tracy Copenhaver
Copenhaver, Kath & Kitchen
224 N. Clark
Powell , WY 82435