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General NPI Number Information
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NPI Number | 1881593184
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Entity Type | Organization
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Legal Business Name | WRAY COMMUNITY DISTRICT HOSPITAL
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 100 HEALTH PARK DR
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City | LOUISVILLE
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State | CO
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Zip | 80027-9583
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Country | US
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Telephone | 970-332-4895
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Fax |
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Provider Business Mailing Address
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Address Line | 1017 W 7TH ST
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City | WRAY
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State | CO
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Zip | 80758-1420
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Country | US
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Telephone | 970-332-4895
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JOHN H EVERETT
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Credential |
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Telephone | 325-207-6584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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