Healthcare Provider Details
I. General information
NPI: 1982001681
Provider Name (Legal Business Name): GUNNISON VALLEY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/24/2014
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
63 W 550 N
SALINA UT
84654-1234
US
IV. Provider business mailing address
PO BOX 759
GUNNISON UT
84634-0759
US
V. Phone/Fax
- Phone: 435-529-2215
- Fax: 435-529-2094
- Phone: 435-529-2215
- Fax: 435-529-2094
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRIAN
C
MURRAY
Title or Position: CFO
Credential:
Phone: 435-528-7246