# RAY FAMILY MEDICAL CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386233138
- **Authorized official:** BRENNA L HUDSON PA-C (OWNER/PHYSICIAN ASSISTANT)
- **Authorized official phone:** (170) 136-0158

## Contact information

- **Practice address:** 6439 115TH AVE NW, SUITE 2, RAY, ND 58849-4900
- **Practice address phone:** (701) 568-2796
- **Practice address fax:** (701) 568-5649
- **Mailing address:** PO BOX 798, RAY, ND 58849-0798
- **Mailing address phone:** (701) 568-2796
- **Mailing address fax:** (701) 568-5649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 01/15/2021
- **Last updated:** 09/28/2022