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WRAY COMMUNITY DISTRICT HOSPITAL NPI 1477587202


NPI Information

NPI: 1477587202
Provider Name: WRAY COMMUNITY DISTRICT HOSPITAL

Doing Business As: THE WRAY CLINIC

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1017 W 7TH ST
WRAY, CO
ZIP 80758
Phone: (970) 332-4895
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WRAY COMMUNITY DISTRICT HOSPITAL is a general practice in Wray, CO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee WRAY COMMUNITY DISTRICT HOSPITAL NPI is 1477587202. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Wray Clinic.

The provider's business location address is:

1017 W 7TH ST
WRAY, CO
ZIP 80758-420
Phone: (970) 332-4895
Fax: (970) 332-3235

The provider's authorized official is John Hart .
The authorized official title is Ceo and has the following contact phone number (970) 332-2203.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 9/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
190925769MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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