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CAH061320-00 GUNNISON VALLEY HOSPITAL (Active)
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Main Details
Name
GUNNISON VALLEY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH061320-00
Medicare Provider Number
061320
Additional Details
Current Program Status
Active
Registration Date
4/8/2023
Participating Start Date
7/1/2023
Participating Approval Date
4/14/2023
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Gunnison Valley Health
Nicole S. Huff, Chief Nursing Officer
(970) 642-4770
Primary Contact
Gunnison Valley Health
Zane Dacus, Director of Pharmacy
(970) 642-7217
Addresses
Street Address
711 NORTH TAYLOR STREET
GUNNISON, CO 81230
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating from effective date: (01/01/2016) until terminated effective date: (10/1/2022), reinstatement effective date: (07/1/2023)
04/14/2023
11/2/15 Participated starting 4/1/2013, terminated 10/1/2015 through 12/31/15 due to failure to recertify, reinstated based on new registration submitted in 10/2015
11/02/2015
April 2025
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