NPIMap

Organization Active NPI

Gunnison Valley Hospital

Doing business as Salina Family Medicine

  • Primary Care Nurse Practitioner
  • Salina, UT
National Provider Identifier
1124499769
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
293477-4405 Issued in UT
Legal business name
GUNNISON VALLEY HOSPITAL
Doing business as
Salina Family Medicine
Practice address
131 E Main St # 3
Salina, UT 84654-1335
Phone
(435) 529-2215
Fax
(435) 529-2094
NPI assigned
Oct 8, 2015
Last updated
Oct 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brian Murray
Title
Cfo
Phone
(435) 528-2146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 293477-4405 UT Primary

Addresses

Primary practice location

131 E Main St # 3
Salina, UT 84654-1335

Mailing address

PO Box 343
Salina, UT 84654-0343
Phone (435) 529-2215

Other names 1

  • Salina Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031113000860 UT Part B Supplier - Clinic/Group Practice 3678487659 Receives reassigned benefits from 22 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Salina, UT; Manti, UT; Gunnison, UT

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1124499769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 343",
            "city": "SALINA",
            "state": "UT",
            "postal_code": "846540343",
            "telephone_number": "435-529-2215",
            "fax_number": "435-529-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E MAIN ST # 3",
            "city": "SALINA",
            "state": "UT",
            "postal_code": "846541335",
            "telephone_number": "435-529-2215",
            "fax_number": "435-529-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNNISON VALLEY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "435-528-2146"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "UT",
            "license": "293477-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salina Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salina, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.