| Gunnison Valley Hospital | |
| 
					156 S Main St Manti UT 84642-1351  | |
| (435) 835-7246 | |
| Not Available | 
| Full Name | Gunnison Valley Hospital | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 156 S Main St, Manti, Utah | 
| Authorized Official Name and Position | Brian C. Murray (CFO) | 
| Authorized Official Contact | 4355282146 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Gunnison Valley Hospital Po Box 759 Gunnison UT 84634-0759 Ph: (435) 528-2146  | Gunnison Valley Hospital 156 S Main St Manti UT 84642-1351 Ph: (435) 835-7246  | 
| NPI Number | 1063038628 | 
|---|---|
| Provider Enumeration Date | 06/19/2020 | 
| Last Update Date | 09/05/2024 | 
| Medicare PECOS PAC ID | 3678487659 | 
|---|---|
| Medicare Enrollment ID | O20240208001854 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1063038628 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary | 
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary | 
Main Street Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 46 N Main St, Manti, UT 84642 Phone: 435-835-6000 Fax: 435-835-6004  |