Organization Active NPI

Gunnison Valley Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Gunnison, UT
National Provider Identifier
1891988952
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
2006-HOSP-183 Issued in UT
Legal business name
GUNNISON VALLEY HOSPITAL
Practice address
64 E 100 N
Gunnison, UT 84634-0759
Phone
(435) 528-7246
Fax
(435) 528-2197
NPI assigned
Aug 22, 2007
Last updated
Jan 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Mr. Brian C Murray
Title
Cfo
Phone
(435) 528-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 2006-HOSP-183 UT Primary

Addresses

Primary practice location

64 E 100 N
Gunnison, UT 84634-0759

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120105000607 UT Part A Provider - Critical Access Hospital 3678487659 Practice locations: Gunnison, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891988952. Details of each certification follow.

Hospital certification: CCN 46Z306

Legal name
GUNNISON VALLEY HOSPITAL
Organization structure
GovernmentNon-profit
Incorporated
Oct 5, 1993 in UT
Enrollment address
64 East 100 North
Gunnison, UT 84634-0759

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

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

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 5

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

NameRoleSinceShare
Jodi McKinlay Individual Corporate OfficerCno Oct 1, 2021
W-2 Managing EmployeeCno Oct 1, 2021
Skylah Williams Individual W-2 Managing EmployeeBusiness Office Manager Jun 25, 2022
Brenda Bartholomew Individual Corporate OfficerCeo Jan 1, 2022
W-2 Managing EmployeeCeo Jan 1, 2022
Operational/Managerial ControlCno Aug 14, 1997
Gunnison Valley Hospital Organization, Gunnison, UT Created for acquisition 5% Or Greater Direct Ownership Interest Oct 5, 1993 100%
Brian C Murray Individual Corporate OfficerCfo Sep 15, 1997
W-2 Managing Employee Sep 15, 1997
Operational/Managerial ControlCfo Sep 15, 1997

Owners & managing parties with NPI records 22

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

View all 22

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
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 Alpine Rehabilitation CenterPleasant Grove, UT, CCN 465088 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
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 17

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

View all 17

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1891988952",
    "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": "64 E 100 N",
            "city": "GUNNISON",
            "state": "UT",
            "postal_code": "846340759",
            "telephone_number": "435-528-7246",
            "fax_number": "435-528-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNNISON VALLEY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2008-01-18",
        "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": "435-528-7246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "UT",
            "license": "2006-HOSP-183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gunnison, UT

Sources for this page

Verify at the official NPI Registry.