Organization Active NPI

Gunnison Valley Hospital

  • Critical Access Hospital
  • Gunnison, UT
National Provider Identifier
1952463036
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
2006-HOSP-183 Issued in UT
Legal business name
GUNNISON VALLEY HOSPITAL
Practice address
64 East 100 North
Gunnison, UT 84634
Phone
(435) 528-7246
Fax
(435) 528-2197
NPI assigned
Dec 14, 2006
Last updated
Sep 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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
Critical Access Hospital 282NC0060X 2006-HOSP-183 UT Primary

Addresses

Primary practice location

64 East 100 North
Gunnison, UT 84634

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 UT4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20031113000860 UT Part B Supplier - Clinic/Group Practice 3678487659 Receives reassigned benefits from 22 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Salina, UT; Manti, UT; Gunnison, UT
O20091103000521 UT Part B Supplier - Hospital Department(S) 3678487659 Receives reassigned benefits from 16 practitioners
Practice locations: Gunnison, UT
O20101027000784 UT Part A Provider - Critical Access Hospital 3678487659 Receives reassigned benefits from 15 practitioners
Practice locations: Gunnison, UT
O20150515000510 UT Part B Supplier - Hospital Department(S) 3678487659 Receives reassigned benefits from 10 practitioners
Practice locations: Gunnison, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952463036. Details of each certification follow.

Hospital certification: CCN 461306

Legal name
GUNNISON VALLEY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 30, 2005
Last certification
Feb 28, 2022
Beds
25
Ownership / control type
Other
Organization structure
OtherNon-profit
Incorporated
Oct 5, 1993 in UT
Enrollment address
64 E 100 N
Gunnison, UT 84634-7709
Other Hospital Practice Location

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

Other NPIs on the same Medicare enrollment 12

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Gunnison Valley HospitalCCN 461306 · All quality measures
Overall star rating
3 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

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
Skylah Williams Individual W-2 Managing EmployeeBilling Supervisor Feb 20, 2014
Brenda Bartholomew Individual Corporate OfficerCno Aug 14, 1997
Corporate DirectorCno Aug 14, 1997
W-2 Managing EmployeeCno Aug 14, 1997
Gunnison Valley Hospital Organization, Gunnison, UT 5% Or Greater Direct Ownership Interest Oct 5, 1993 100%
Mark Frederick Dalley Individual Corporate OfficerCeo Aug 8, 2011
W-2 Managing EmployeeCeo Aug 8, 2011
Operational/Managerial ControlCeo Aug 8, 2011
Brian C Murray Individual Corporate OfficerCfo Sep 15, 1997
Corporate DirectorCfo Sep 15, 1997
W-2 Managing EmployeeCfo 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 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 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

Practitioners 37

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 37

Affiliated clinicians 56

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

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1952463036",
    "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 EAST 100 NORTH",
            "city": "GUNNISON",
            "state": "UT",
            "postal_code": "84634",
            "telephone_number": "435-528-7246",
            "fax_number": "435-528-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNNISON VALLEY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2014-09-24",
        "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": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "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.