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General NPI Number Information
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NPI Number | 1063430346
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Entity Type | Organization
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Legal Business Name | RANGELY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 12/10/2021
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Provider Practice Location Address
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Address Line | 225 EAGLE CREST DR.
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City | RANGELY
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State | CO
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Zip | 81648-2100
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Country | US
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Telephone | 970-675-5011
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Fax | 970-675-5224
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Provider Business Mailing Address
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Address Line | 225 EAGLE CREST DR.
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City | RANGELY
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State | CO
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Zip | 81648-2100
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Country | US
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Telephone | 970-675-5011
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Fax | 970-675-5224
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Authorized Official
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Title or Position | CEO
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Name | KYLE WREN
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Credential |
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Telephone | 970-675-5011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 0682
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License Number State | CO
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