Healthcare Provider Details

I. General information

NPI: 1235947086
Provider Name (Legal Business Name): GUNNISON VALLEY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2024
Last Update Date: 12/26/2024
Certification Date: 12/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 N MAIN ST
GUNNISON CO
81230-2454
US

IV. Provider business mailing address

711 N TAYLOR ST
GUNNISON CO
81230-2296
US

V. Phone/Fax

Practice location:
  • Phone: 970-641-2001
  • Fax: 970-641-7216
Mailing address:
  • Phone: 970-641-1456
  • Fax: 970-641-4461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ANGELA KOBEL
Title or Position: CFO
Credential:
Phone: 719-743-2421