Organization Active NPI

Gunnison Valley Hospital

Doing business as Mission at Alpine Rehabilitation Center

  • Skilled Nursing Facility
  • Pleasant Grove, UT
National Provider Identifier
1669904439
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GUNNISON VALLEY HOSPITAL
Doing business as
Mission at Alpine Rehabilitation Center
Practice address
25 E Alpine Drive
Pleasant Grove, UT 84062-3511
Phone
(801) 785-3568
NPI assigned
Mar 31, 2017
Last updated
Mar 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X UT Primary

Addresses

Primary practice location

25 E Alpine Drive
Pleasant Grove, UT 84062-3511

Mailing address

PO Box 759
Gunnison, UT 84634-0759
Phone (435) 528-7246

Other names 1

  • Mission at Alpine Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170509002881 UT Part A Provider - Skilled Nursing Facility 3678487659 Practice locations: Pleasant Grove, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669904439. Details of each certification follow.

Skilled nursing facility certification: CCN 465088

Legal name
GUNNISON VALLEY HOSPITAL
Doing business as
MISSION AT ALPINE REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 15, 1981
Last certification
Nov 30, 2023
Beds
52
Ownership / control type
Other Nonprofit
Multi-facility organization
Gunnison Valley Hospital
Organization structure
OtherNon-profit
Incorporated
Oct 5, 1993 in UT
Enrollment address
25 Alpine Dr
Pleasant Grove, UT 84062-3511
Nursing home name
MISSION AT ALPINE REHABILITATION CENTER
Affiliated entity
MISSION HEALTH SERVICES

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 22

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mission at Alpine Rehabilitation CenterCCN 465088 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Dec 15, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5237.2 residents per day on average
Chain
Mission Health Services7 facilities in the chain
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $125,737

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Richard B Nay MD25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ashley Ellis Individual Operational/Managerial Control Jun 1, 2021
Adp of the SNF Jun 1, 2021
Brenda Bartholomew Individual Corporate OfficerCeo Oct 1, 2021
Eddie Keele Individual Operational/Managerial Control Apr 1, 2023
David H Workman Individual Operational/Managerial Control Jun 1, 2023
Adp of the SNF Jun 1, 2023
Gunnison Valley Hospital Organization, Gunnison, UT Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 2017 100%
Michelle Zimbelman Individual Operational/Managerial Control Apr 1, 2017
Adp of the SNF Apr 1, 2017
Brian C Murray Individual Corporate OfficerCfo Apr 1, 2017
Mission Health Services Organization, South Salt Lake, UT Corporation, Management services company, Non-profit, Chain home office Operational/Managerial Control Apr 1, 2017 100%
Adp of the SNF Jun 4, 2025
Zachary Wootton Individual Operational/Managerial Control Apr 1, 2024
Adp of the SNF Apr 1, 2024
Jacob Taylor Individual Operational/Managerial Control Jul 16, 2024
Adp of the SNF Jul 16, 2024

Owners & managing parties with NPI records 24

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 24

All facility ownership & control disclosures 19

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gunnison Valley HospitalGunnison, UT, CCN 461306 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 5, 1993
Gunnison Valley HospitalGunnison, UT, CCN 46Z306 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 5, 1993
Mission at Community Living Rehabilitation CenterCenterfield, UT, CCN 465175 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
May 1, 2014
May 1, 2014
MSM Brigham CityBrigham City, UT, CCN 465165 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2014
Mission at Nephi Nursing and RehabilitationNephi, UT, CCN 465107 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 TaylorsvilleTaylorsville, UT, CCN 465066 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 CreekSalt Lake City, UT, CCN 465094 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2018
Monument Healthcare Pioneer TrailBrigham City, UT, CCN 465020 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2020
Monument Healthcare Brigham CityBrigham City, UT, CCN 465093 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 RehabilitationRichfield, UT, CCN 465059 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 LakeSouth Salt Lake, UT, CCN 465146 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 Cottonwood CreekMillcreek, UT, CCN 465074 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Jul 1, 2020
Feb 7, 2025
Mar 24, 2025
Monument Healthcare Canyon Rim LLCMillcreek, UT, CCN 465096 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 ForkAmerican Fork, UT, CCN 465097 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 CreekBountiful, UT, CCN 465156 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 HealthGunnison, UT, CCN 467035 Home health agency 5% Or Greater Direct Ownership Interest (100%) Oct 1, 1993
Gunnison Valley Hospital HospiceGunnison, UT, CCN 461521 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 1, 1993
Salina Family MedicineSalina, UT, CCN 463999 Rural health clinic Other (100%) Oct 5, 1993
Gunnison Valley HospitalGunnison, UT, CCN 463400 Rural health clinic Other Jan 1, 2025

Owned or controlled facilities with NPI records 19

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 19

Facilities with the same owner 21

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 21

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1669904439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759",
            "city": "GUNNISON",
            "state": "UT",
            "postal_code": "846340759",
            "telephone_number": "435-528-7246",
            "fax_number": "435-528-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E ALPINE DRIVE",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623511",
            "telephone_number": "801-785-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNNISON VALLEY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "435-528-2146"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission at Alpine Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant Grove, UT

Sources for this page

Verify at the official NPI Registry.