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
1	275N00000X	Medicare Defined Swing Bed Hospital Unit	2006-HOSP-183	UT

General Provider Information

NPI Number	:	1891988952
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	:	64 E 100 N
Second Line	:
City	:	GUNNISON
State	:	UT
Zip	:	84634-0759
Country	:	US
Telephone Number	:	435-528-7246
Fax Number	:	435-528-2197

Authorized Official
Title or Position	:	CFO
Name	:	MR. BRIAN C MURRAY
Credential	:
Telephone Number	:	435-528-7246

Provider Enumeration Date	:	08/22/2007
Last Update Date	:	01/18/2008

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Directions to “GUNNISON VALLEY HOSPITAL ” Practice Location

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