Healthcare Provider Details

I. General information

NPI: 1255509584
Provider Name (Legal Business Name): GUNNISON VALLEY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 03/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 E CENTER ST
MONROE UT
84754-4272
US

IV. Provider business mailing address

260 E CENTER ST
MONROE UT
84754-4272
US

V. Phone/Fax

Practice location:
  • Phone: 435-527-8866
  • Fax: 801-951-2347
Mailing address:
  • Phone: 435-527-8866
  • Fax: 801-951-2347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: BRANDON JONES
Title or Position: MANAGER
Credential:
Phone: 801-951-2333