Wray Community District Hospital
Organization Active NPI Critical Access Hospital · Wray, CO
NPI 1083640239 · NPPES record last updated Sep 7, 2022
Key facts
- NPI
- 1083640239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 0944 (CO)
- Legal business name
- WRAY COMMUNITY DISTRICT HOSPITAL
- Practice address
- 1017 W 7TH St
Wray, CO 80758-1420 - Phone
- (970) 332-4811
- Fax
- (970) 332-4017
- NPI assigned
- Jun 22, 2006
- Organization subpart
- No
Authorized official
- Name
- John Hart
- Title
- Ceo
- Phone
- (970) 332-2201
Owners & managing parties with NPI records 3
Owned or controlled facilities with NPI records 2
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 3
Member organizations 1
Related certifications (CCN) 3
Facilities with the same owner 1
Practitioners 63
-
Kaily Ann Baer, MD
-
Robert A Harper, M.D.
-
Adam Holzmeister, MD
-
Hakumat Rai Kakkar, M.D.
-
Beth A Kapadia, MD
-
Susan M Kasza, D.O.
-
William C. Kramer, M.D.
-
Paul Val Meredith, CRNA
-
Lindsey Lane Paulson, M.D.
-
Austin Dale Reed, CRNA
-
David G. Reed, M.D.
-
Lynn A Voss, M.D.
-
John F Wolz, MD
-
Benjamin J. George, M.D.
-
Megan Irene McKenna, D.O.
-
Jeremy L Weiss, DO
-
Tiffany Lynn Deering, PA-C
Affiliated clinicians 47
-
Kaily Ann Baer, MD
-
Erik Bowman, M.D.
-
Tiffany Lynn Deering, PA-C
-
Susan Marie Dorman, RN, CS-FNP
-
Michael Eby, M.D.
-
Oralee L Ekberg, D.O.
-
Benjamin Gehret, C.R.N.A.
-
Robert A Harper, M.D.
-
Adam Holzmeister, MD
-
Robert Alan Jelinek, DPM
-
Hakumat Rai Kakkar, M.D.
-
Beth A Kapadia, MD
-
Susan M Kasza, D.O.
-
William C. Kramer, M.D.
-
Susan R. Krautkramer, P.A.-C
-
Paul Val Meredith, CRNA
Medicare Care Compare: Hospital
- Listed as
- Wray Community District Hospital
- Type
- Critical Access Hospitals
- Ownership
- Government - Hospital District or Authority
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in CO
Hospital certification: CCN 06Z309
- Legal name
- WRAY COMMUNITY DISTRICT HOSPITAL
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jan 7, 1946 in CO
- Enrollment address
- 1017 W 7TH St
Wray, CO 80758-1420
Hospital certification: CCN 061309
- Legal name
- WRAY COMMUNITY DISTRICT HOSPITAL
- Doing business as
- WRAY COMMUNITY DISTRICT HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Jan 1, 2001
- Last certification
- Jul 27, 2023
- Beds
- 15
- Ownership / control type
- Hospital district or authority
- Organization structure
- Other · Proprietary
- Enrollment address
- 1017 W 7TH St
Wray, CO 80758-1420
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| John H Everett |
Corporate Officer |
Dec 1, 2024 | |
| Operational/Managerial Control |
Dec 1, 2024 | ||
| James Hendrix |
Corporate Director | Jul 30, 2019 | |
| Corporate Director |
Jul 30, 2019 | ||
| John S Hart |
Corporate Officer |
Jan 7, 2019 | |
| Operational/Managerial Control |
Jan 7, 2019 | ||
| Craig Soehner |
Corporate Director | Apr 6, 2014 | |
| Corporate Director |
May 27, 2014 | ||
| Wray Community District Hospital |
5% Or Greater Direct Ownership Interest | Jan 1, 1994 | |
| Operational/Managerial Control | Jan 1, 1994 | ||
| Operational/Managerial Control | Jan 4, 2016 | ||
| Jennifer Kramer |
Corporate Officer | Jan 1, 2016 | |
| W-2 Managing Employee | Jan 1, 2016 | ||
| Corporate Officer |
Aug 28, 2024 | ||
| Operational/Managerial Control |
Aug 28, 2024 | ||
| Jeffrey Wingfield |
Corporate Director | May 5, 2020 | |
| Corporate Director |
May 5, 2020 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Wray Community District Hospital |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Jan 1, 1994 Jan 1, 1994 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040326000383 | CO | Part B Supplier - Clinic/Group Practice | 3274425038 |
Receives reassigned benefits from 62 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wray, CO |
| O20101123000542 | CO | Part a Provider - Critical Access Hospital | 3274425038 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wray, CO |
| O20161220001701 | CO | Part a Provider - Critical Access Hospital | 3274425038 |
Receives reassigned benefits from 45 practitioners 1 other NPI on this enrollment Practice locations: Wray, CO |
National Provider Directory
Interoperability endpoints
- robertloyd@wrayhospital.cernerdirect.com
- brianshannon@wrayhospital.cernerdirect.com
- khashaiarcharepoo@wrayhospital.cernerdirect.com
- https://fhir-myrecord.cerner.com/r4/ntTIZxOIDS2tB2PUqr33FYQo0UWd2W9R/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 0944 | CO | Yes |
Addresses
Primary practice location
1017 W 7TH St
Wray, CO 80758-1420
Mailing address
1017 W 7TH St
Wray, CO 80758-1420
Phone (970) 332-4811
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05053004 | Medicaid | CO |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://urldefense.com/v3/__https:/linkprotect.cudasvc.com/url?a=https*3a*2f*2fesmd2.ssigroup.com*3a8291*2fGateway*2fDocumentSubmission*2f2_0*2fNhinService*2fXDRRequest_Service&c=E,1,BsEm99sSif1B2dbhzUiePvcRCvX6tV3YIb7zaPfrMqz4XZVa-OH-pyOTmxjK_YZJ7HKVLwR7MPSwt1IysWwcjhsrbcaFZdrfyFvU1zYo7kn3_3nkJa0-XL3_Yw,,&typo=1__;JSUlJSUlJSUl!!IPetXT4!2V498XSZME80TjP3OESWcO2YSCT9nbeFTO1uUeP1z63iUac_XM4BwY7_IyFDW3ml9DffKTRjOQbyxmL6wSl4VNHc$ | Other | The SSI Group, LLC |
Other providers in Wray, CO
- Monte C. Uyemura
- Caroline Hinds Vick
- Michael Patrick Welch
- Joyce Ann Williams
- Kathy Kay Wood
- Wray Community District Hospital
- Wray Community District Hospital
- Wray Community District Hospital
- Wray Community District Hospital
- Wray Community Long Term Care Inc
All providers in Wray, CO · Critical Access Hospital in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.