Organization
CITY OF WRAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL DAVID RN, NREMT-P (AGENCY DIRECTOR)
(970) 332-4086
Entity
Organization
Contact information
Practice address
245 W 4TH ST, WRAY, CO 80758-1703
(970) 332-4086
(970) 332-4084
Mailing address
PO BOX 35, 245 W. 4TH ST., WRAY, CO 80758-0035
(970) 332-4086
(970) 332-4084
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06609333
—
CO
Enumeration date
10/18/2007
Last updated
07/21/2022
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