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Wray Community District Hospital

Organization Active NPI General Practice Physician · Wray, CO

NPI 1477587202 · NPPES record last updated Sep 7, 2022

Key facts

NPI
1477587202
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
Legal business name
WRAY COMMUNITY DISTRICT HOSPITAL
Practice address
1017 W 7TH St
Wray, CO 80758-1420
Phone
(970) 332-4895
Fax
(970) 332-3235
NPI assigned
Jul 10, 2006
Organization subpart
No

Authorized official

Name
John Hart
Title
Ceo
Phone
(970) 332-2203

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities connected through Provider of Services related, parent or unit certification numbers.

Practitioners 63

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 63

Affiliated clinicians 47

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 47

Medicare Care Compare: Hospital

Listed as
Wray Community District Hospital CCN 061309
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CO

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
Other Hospital Practice Location

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John H Everett
Individual 		Corporate Officer
Cfo		 Dec 1, 2024
Operational/Managerial Control
Cfo		 Dec 1, 2024
James Hendrix
Individual 		Corporate Director
Board Member		 Jul 30, 2019
John S Hart
Individual 		Corporate Officer
Chief Executive Officer		 Jan 7, 2019
Operational/Managerial Control
Ceo		 Jan 7, 2019
Craig Soehner
Individual 		Corporate Director
Board Member		 May 27, 2014
Wray Community District Hospital
Organization · Wray, CO
Non-profit 		Operational/Managerial Control Jan 4, 2016
Jennifer Kramer
Individual 		Corporate Officer
Chief Clinical Officer		 Aug 28, 2024
Operational/Managerial Control
Chief Clinical Officer		 Aug 28, 2024
Jeffrey Wingfield
Individual 		Corporate Director
Board Member		 May 5, 2020

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wray Community District Hospital
Wray, CO · CCN 06Z309		 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jan 1, 1994
Jan 1, 1994
Wray Community District Hospital
Wray, CO · CCN 061309		 Hospital Operational/Managerial Control Jan 4, 2016

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040326000383 CO Part B Supplier - Clinic/Group Practice 3274425038 Receives reassigned benefits from 62 practitioners
2 other NPIs on this 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
This NPI is an additional NPI on the enrollment
Practice locations: Wray, CO

National Provider Directory

Locations

700 Main St
Wray, CO 80758
Phone (970) 332-3450

Interoperability endpoints

  • Direct secure messaging: davidreed@wrayhospital.cernerdirect.com
  • Direct secure messaging: skrautkramer@wrayhospital.cernerdirect.com
  • Direct secure messaging: susankasza@wrayhospital.cernerdirect.com
  • Direct secure messaging: lindseypaulson@wrayhospital.cernerdirect.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 208D00000X Yes

Addresses

Primary practice location

1017 W 7TH St
Wray, CO 80758-1420

Mailing address

1017 W 7TH Street
Wray, CO 80758-1420
Phone (970) 332-4895

Other identifiers

IdentifierTypeStateIssuer
90925769MedicaidCO

Other names

  • The Wray Clinic Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
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

All providers in Wray, CO · General Practice Physician in Colorado

Sources for this page

Verify at the official NPI Registry.