Gunnison Valley Hospital
Organization Active NPI Skilled Nursing Facility · Salt Lake City, UT
NPI 1124591987 · NPPES record last updated May 22, 2025
Key facts
- NPI
- 1124591987
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- GUNNISON VALLEY HOSPITAL
- Practice address
- 1205 E 4725 S
Salt Lake City, UT 84117-4917 - Phone
- (801) 262-2908
- Fax
- (801) 262-2963
- NPI assigned
- Jan 4, 2019
- Organization subpart
- No
Authorized official
- Name
- Brian C. Murray
- Title
- Cfo
- Phone
- (435) 528-2146
Owners & managing parties with NPI records 23
Owned or controlled facilities with NPI records 19
Other NPIs with the same Medicare PAC ID 22
Corporate family (same tax ID) 24
Facilities with the same owner 39
Practitioners 15
-
Wade Moyle Anderson, PA-C
-
Britney B Bunot, D.O.
-
Bradley Charles Burton, PA-C
-
Kyle Comin, CRNA
-
Sean Haskett, M.D.
-
Sean Jay Henderson, D.O., F.A.C.O.S.
-
Bret D Hilton, PA
-
Sean Lucien Olsen, DNP
-
Kayla Olson, FNP-BC
-
Jeffrey J Nelson, MD
Affiliated clinicians 1
Medicare Care Compare: Nursing home
- Listed as
- Monument Healthcare Cottonwood Creek
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- May 16, 1980
- Medicare certification status
- Active
- Certified beds
- 77 · 65.4 residents per day on average
- Chain
- Monument Health Group
- Penalties (3 years)
- 1 · fines totaling $17,940
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D0667739 | Monument Healthcare Cottonwood Creek | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Skilled nursing facility certification: CCN 465074
- Legal name
- GUNNISON VALLEY HOSPITAL
- Doing business as
- MONUMENT HEALTHCARE COTTONWOOD CREEK
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 16, 1980
- Last certification
- Apr 4, 2024
- Beds
- 77
- Ownership / control type
- Corporation
- Multi-facility organization
- Sandstone Health Care
- Organization structure
- Government · Proprietary
- Incorporated
- Oct 5, 1993 in UT
- Enrollment address
- 1205 E 4725 S
Millcreek, UT 84117-4917 - Nursing home name
- MONUMENT HEALTHCARE COTTONWOOD CREEK
- Affiliated entity
- MONUMENT HEALTH GROUP
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Christian R West |
Operational/Managerial Control | Feb 7, 2025 | |
| Adp of the SNF | Feb 7, 2025 | ||
| Faith McKinnie-Redmond |
Operational/Managerial Control | Feb 7, 2025 | |
| Adp of the SNF | Feb 7, 2025 | ||
| David H Workman |
Operational/Managerial Control | Feb 7, 2025 | |
| Adp of the SNF | Feb 7, 2025 | ||
| Gunnison Valley Hospital |
5% Or Greater Direct Ownership Interest | Jul 1, 2020 | 100% |
| Operational/Managerial Control | Feb 7, 2025 | ||
| Adp of the SNF | Mar 24, 2025 | ||
| Spencer R Samuelian |
Operational/Managerial Control | Feb 7, 2025 | |
| Adp of the SNF | Feb 7, 2025 | ||
| Monument Health Group LLC |
Operational/Managerial Control | Feb 7, 2025 | |
| Adp of the SNF | Mar 24, 2025 | ||
| Stephanie Espinosa |
Operational/Managerial Control | Feb 7, 2025 | |
| Adp of the SNF | Feb 7, 2025 | ||
| Monument Real Estate Cottonwood Creek LLC |
Adp of the SNF | Feb 7, 2025 | |
| Monument Health Properties LLC |
Adp of the SNF | Feb 7, 2025 | |
| Stephen Blake Marriott |
Operational/Managerial Control | Feb 7, 2025 | |
| Adp of the SNF | Feb 7, 2025 | ||
| Brian C Murray |
Corporate Officer |
Jul 1, 2020 | |
| Operational/Managerial Control |
Jul 1, 2020 | ||
| Adp of the SNF | Jul 1, 2020 | ||
| Jason J Seastrand |
Operational/Managerial Control | Feb 7, 2025 | |
| Adp of the SNF | Feb 7, 2025 | ||
| Lindsay Fragoso |
Operational/Managerial Control | May 10, 2021 | |
| Adp of the SNF | May 10, 2021 | ||
| Jace Morris |
Operational/Managerial Control | Feb 7, 2025 | |
| Adp of the SNF | Feb 7, 2025 | ||
| Brett P Robertson |
Operational/Managerial Control | Feb 7, 2025 | |
| Adp of the SNF | Feb 7, 2025 | ||
| Travis Clawson |
Operational/Managerial Control | Feb 7, 2025 | |
| Adp of the SNF | Feb 7, 2025 | ||
| Health Group Management LLC |
Operational/Managerial Control | Feb 7, 2025 | |
| Adp of the SNF | Mar 24, 2025 |
All facility ownership & control disclosures 19
| Facility | Type | Role | Since |
|---|---|---|---|
| Gunnison Valley Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Oct 5, 1993 |
| Gunnison Valley Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Oct 5, 1993 |
| Mission at Community Living Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
May 1, 2014 May 1, 2014 |
| MSM Brigham City |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2014 |
| Mission at Alpine Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Mission at Nephi Nursing and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF Direct Ownership Interest (100%) |
Jul 1, 2018 Jul 1, 2018 Sep 8, 2025 Jul 1, 2018 |
| Monument Healthcare Taylorsville |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jul 1, 2018 Jul 1, 2018 Apr 2, 2025 |
| Monument Healthcare Murray Creek |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2018 |
| Monument Healthcare Pioneer Trail |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2020 |
| Monument Healthcare Brigham City |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF Direct Ownership Interest (100%) |
Jul 1, 2018 Jul 1, 2018 Mar 4, 2025 Jul 1, 2018 |
| Mission at Richfield Nursing and Rehabilitation |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF Direct Ownership Interest (100%) |
Jul 1, 2020 Apr 14, 2025 Jul 1, 2020 |
| Monument Healthcare South Salt Lake |
Skilled nursing facility | Operational/Managerial Control (100%) Adp of the SNF Direct Ownership Interest (100%) |
Jul 1, 2020 Mar 11, 2025 Jul 1, 2020 |
| Monument Healthcare Canyon Rim LLC |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jul 1, 2020 Feb 7, 2025 Aug 21, 2025 |
| Monument Healthcare American Fork |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jul 1, 2020 Jul 1, 2020 Jul 3, 2025 |
| Monument Healthcare Stone Creek |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jul 1, 2018 Jul 1, 2018 May 28, 2025 |
| Gunnison Valley Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 1993 |
| Gunnison Valley Hospital Hospice |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 1993 |
| Salina Family Medicine |
Rural health clinic | Other (100%) | Oct 5, 1993 |
| Gunnison Valley Hospital |
Rural health clinic | Other | Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200707000822 | UT | Part a Provider - Skilled Nursing Facility | 3678487659 | Practice locations: Millcreek, UT |
National Provider Directory
- Tax ID family
- Gunnison Valley Hosp Su
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1205 E 4725 S
Salt Lake City, UT 84117-4917
Mailing address
1205 E 4725 S
Millcreek, UT 84117-4917
Other names
- Monument Healthcare Cottonwood Creek
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc. |
Other providers in Salt Lake City, UT
- Gregory Scott Gunn
- Katherine Brooke Gunn
- Melissa Rae Gunner
- Sadie Elise Gunnerson
- Karen Marie Gunning
- Gunnison Valley Hospital
- Gunnison Valley Hospital
- Gunnison Valley Hospital
- Gunnison Valley Hospital
- Gunnison Valley Hospital
All providers in Salt Lake City, UT · Skilled Nursing Facility in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.