GOOD SAMARITAN CLINIC OF WESTERN COLORADO NPI 1356841779

NPI Information

GOOD SAMARITAN CLINIC OF WESTERN COLORADO is a general practice in Grand Junction, CO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee GOOD SAMARITAN CLINIC OF WESTERN COLORADO NPI is 1356841779. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

402 GRAND AVE
GRAND JUNCTION, CO
ZIP 81501-534
Phone: (970) 712-6518

The provider's authorized official is Elaine Taylor .
The authorized official title is Executuve Director and has the following contact phone number (970) 290-1552.

The CLIA number assigned to this NPI record is 06D2298030 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2018 and was last updated on 2/13/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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