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NPI Code Detail

MEDICARE: GUNNISON VALLEY HOSPITAL

MEDICARE: GUNNISON VALLEY HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityUT

General Provider Information

NPI Number : 1134651235
Entity Type Code : Organization
Provider Name (Legal Business Name) : GUNNISON VALLEY HOSPITAL
Provider Business Mailing Address
First Line : PO BOX 759
Second Line :
City : GUNNISON
State : UT
Zip : 84634-0759
Country : US
Telephone Number : 435-528-7246
Fax Number : 435-528-2197
Provider Business Practice Location Address
First Line : 1216 E 1300 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84105-1949
Country : US
Telephone Number : 801-487-5865
Fax Number :
Authorized Official
Title or Position : CFO
Name : BRIAN C, MURRAY
Credential :
Telephone Number : 435-528-2146
Provider Enumeration Date : 03/29/2017
Last Update Date : 03/29/2017

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Directions to “GUNNISON VALLEY HOSPITAL ” Practice Location

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