Healthcare Provider Details

I. General information

NPI: 1053580944
Provider Name (Legal Business Name): GUNNISON VALLEY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2008
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 EAST CENTER STREET
GUNNISON UT
84634-8001
US

IV. Provider business mailing address

95 E CENTER STREET
GUNNISON UT
84634-8001
US

V. Phone/Fax

Practice location:
  • Phone: 435-528-7227
  • Fax: 435-528-7138
Mailing address:
  • Phone: 435-528-7227
  • Fax: 435-528-7138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
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: MICHELLE ZIMBELMAN
Title or Position: CFO
Credential:
Phone: 801-233-6100