Healthcare Provider Details
I. General information
NPI: 1649673088
Provider Name (Legal Business Name): GUNNISON VALLEY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/30/2014
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1010 S MEDICAL DR
BRIGHAM CITY UT
84302-3050
US
IV. Provider business mailing address
1010 S MEDICAL DR
BRIGHAM CITY UT
84302-3050
US
V. Phone/Fax
- Phone: 435-723-9100
- Fax:
- Phone: 435-723-9100
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRIAN
C.
MURRAY
Title or Position: CFO
Credential:
Phone: 435-528-7246