NPIMap

Organization Active NPI

Gunnison Valley Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Gunnison, CO
National Provider Identifier
1689023871
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
GUNNISON VALLEY HOSPITAL
Practice address
711 N Taylor St
Gunnison, CO 81230-2243
Phone
(970) 641-1456
NPI assigned
Jun 8, 2016
Last updated
Apr 18, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
GUNNISON VALLEY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Authorized official

Name
Mark Vanderveer
Title
Cfo
Phone
(970) 642-4760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X CO Primary

Addresses

Primary practice location

711 N Taylor St
Gunnison, CO 81230-2243

Mailing address

711 N Taylor St
Gunnison, CO 81230-2296
Phone (970) 641-1456

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehr-direct@gvh.hin.us Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110512000182 CO Part A Provider - Critical Access Hospital 8426040486 1 other NPI on this enrollment
Practice locations: Gunnison, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689023871. Details of each certification follow.

Hospital certification: CCN 06Z320

Legal name
GUNNISON VALLEY HOSPITAL
Organization structure
OtherNon-profit
Incorporated
Jan 1, 1955 in CO
Enrollment address
711 N Taylor St.
Gunnison, CO 81230-2243

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Gunnison County Hospita21 organizations share this tax ID, including this one
Part of
Gunnison County Hospita

Other organizations with this tax ID 20

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

View all 20

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Jason C Amrich Individual Corporate OfficerCeo/Board Ex-Officio Dec 6, 2021
W-2 Managing EmployeeCeo/Board Ex-Officio Dec 6, 2021
Operational/Managerial ControlCeo/Board Ex-Officio Dec 6, 2021
Basudhaa Dasgupta Individual W-2 Managing Employee Jan 1, 2023
Stephanie L Porter Individual W-2 Managing EmployeeChief of Staff Jan 1, 2021
Operational/Managerial ControlChief of Staff Jan 1, 2021
Marla Covey Individual Corporate DirectorBoard Trustee Feb 1, 2014
Mark L Van Der Veer Individual Corporate OfficerCfo Aug 14, 2019
W-2 Managing EmployeeCfo Aug 14, 2019
Operational/Managerial ControlCfo Aug 14, 2019
Angela Kobel Individual Corporate OfficerCfo Jan 1, 2024
County of Gunnison Organization, Gunnison, CO 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Mark Kaufman Individual Corporate DirectorBoard Trustee Feb 1, 2022
Bruce Alpern Individual Corporate DirectorBoard Trustee Oct 1, 2010
Donald Haver Individual Corporate DirectorBoard Chairman Feb 1, 2014
Monroe H Spector Individual Corporate DirectorBoard Trustee Feb 1, 2020

Owners & managing parties with NPI records 2

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

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 87

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.

View all 87

Affiliated clinicians 5

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": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1689023871",
    "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": "970-641-1456",
            "fax_number": "970-641-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N TAYLOR ST",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302243",
            "telephone_number": "970-641-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNNISON VALLEY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUNNISON VALLEY HOSPITAL",
        "enumeration_date": "2016-06-08",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "VANDERVEER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "970-642-4760"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehr-direct@gvh.hin.us",
            "affiliation": "N",
            "endpointDescription": "Gunnison Valley Hospital-Swing Bed",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD Exchange",
            "address_1": "711 N Taylor St",
            "city": "Gunnison",
            "state": "CO",
            "country_code": "US",
            "postal_code": "812302243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gunnison, CO

Sources for this page

Verify at the official NPI Registry.