NPIMap

Organization Active NPI

Gunnison Valley Hospital

  • Dermatology Physician
  • Crested Butte, CO
National Provider Identifier
1245040278
Registry record updated Jan 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
GUNNISON VALLEY HOSPITAL
Practice address
405 Elk Ave
Crested Butte, CO 81224-5434
Phone
(970) 641-3927
NPI assigned
Jan 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2025

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

Authorized official

Name
Angela Kobel
Title
Cfo
Phone
(719) 743-2421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

405 Elk Ave
Crested Butte, CO 81224-5434

Mailing address

711 N Taylor St
Gunnison, CO 81230-2296
Phone (970) 641-4461

Other names 1

  • Crested Butte Derm Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040331000463 CO Part B Supplier - Clinic/Group Practice 8426040486 Receives reassigned benefits from 181 practitioners
27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gunnison, CO; Telluride, CO; Crested Butte, CO

Other NPIs on the same Medicare enrollment 27

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

View all 27

National Provider Directory

National Provider Directory
Tax ID family
Gunnison Valley Hospital21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736553600000",
    "number": "1245040278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N TAYLOR ST",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302296",
            "telephone_number": "970-641-4461",
            "fax_number": "970-641-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 ELK AVE",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812245434",
            "telephone_number": "970-641-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNNISON VALLEY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-11",
        "last_updated": "2025-01-11",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "KOBEL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "719-743-2421"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crested Butte Derm",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crested Butte, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; 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.