Healthcare Provider Details

I. General information

NPI: 1093476020
Provider Name (Legal Business Name): GUNNISON VALLEY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2022
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 EAST 100 NORTH
GUNNISON UT
84634
US

IV. Provider business mailing address

PO BOX 759
GUNNISON UT
84634-0759
US

V. Phone/Fax

Practice location:
  • Phone: 435-528-2222
  • Fax: 435-528-2147
Mailing address:
  • Phone: 435-528-2222
  • Fax: 435-528-2147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BRIAN C. MURRAY
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 435-528-2146