Healthcare Provider Details
I. General information
NPI: 1922599950
Provider Name (Legal Business Name): GUNNISON VALLEY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/25/2018
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
775 N 200 E
BRIGHAM CITY UT
84302-1303
US
IV. Provider business mailing address
206 N 2100 W
SALT LAKE CITY UT
84116-4740
US
V. Phone/Fax
- Phone: 435-723-8773
- Fax: 435-723-8773
- Phone:
- 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: 435-528-2146