Healthcare Provider Details

I. General information

NPI: 1942366612
Provider Name (Legal Business Name): COUNTY OF GUNNISON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 N TAYLOR ST STE B
GUNNISON CO
81230-2208
US

IV. Provider business mailing address

711 N TAYLOR ST STE B
GUNNISON CO
81230-2208
US

V. Phone/Fax

Practice location:
  • Phone: 970-641-3244
  • Fax: 970-641-3738
Mailing address:
  • Phone: 970-641-3244
  • Fax: 970-641-3738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JONI REYNOLDS
Title or Position: CEO
Credential:
Phone: 970-641-7940