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CAH461306-00 GUNNISON VALLEY HOSPITAL (Active)
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Main Details
Name
GUNNISON VALLEY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH461306-00
Medicare Provider Number
461306
Additional Details
Current Program Status
Active
Registration Date
9/22/2010
Participating Start Date
9/30/2010
Participating Approval Date
9/30/2010
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Gunnison Valley Hospital
BRIAN C. MURRAY, CFO
(435) 528-2146
Primary Contact
Gunnison Valley Hospital
WILLARD TUCKER, PHARMACIST
(435) 528-2132
Addresses
Street Address
64 E 100 N
GUNNISON, UT 84634-0759
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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