Healthcare Provider Details

I. General information

NPI: 1649673088
Provider Name (Legal Business Name): GUNNISON VALLEY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2014
Last Update Date: 09/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 W 600 N
TREMONTON UT
84337-2400
US

IV. Provider business mailing address

PO BOX 759
GUNNISON UT
84634-0759
US

V. Phone/Fax

Practice location:
  • Phone: 435-257-4400
  • Fax: 435-257-4378
Mailing address:
  • Phone: 435-528-2146
  • Fax: 435-528-2197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

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