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INTERMOUNTAIN HEALTH GOOD SAMARITAN HOSPITAL
NPI 1043250780
General Acute Care Hospital in Lafayette, CO

Active since June 08, 2006CLIA 06D1028766 · Accreditation
200 EXEMPLA CIR, LAFAYETTE, CO 80026(303) 689-4000(303) 467-4156 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 17, 2023, Apr 12, 2018, Jan 31, 2017 (3 updates tracked since 2017).

About Intermountain Health Good Samaritan Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERMOUNTAIN HEALTH GOOD SAMARITAN HOSPITAL (NPI 1043250780) is a healthcare organization registered as a general acute care hospital in Lafayette, Colorado and active in the NPI registry since June 2006. The organization holds an CLIA Accreditation certificate valid through May 11, 2027 and lists Sean Fadden, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1043250780
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameGOOD SAMARITAN MEDICAL CENTER, LLC
Location Address200 EXEMPLA CIRLafayette, CO 80026-3370
Mailing Address500 Eldorado Blvd, Ste 6250Broomfield, CO 80021-3408 · (303) 272-0820 · Fax (303) 689-6674
Phone(303) 689-4000
Fax(303) 467-4156
Organization SubpartYesParent: Sisters Of Charity Of Leavenworth Health System, Inc
Authorized OfficialSean FaddenVp Finance · (303) 425-2410
Enumeration DateJune 8, 2006
Last NPPES UpdateOctober 17, 20233 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
✔ NPI 1043250780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X
200 EXEMPLA CIR, Lafayette, CO 80026
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Other Names 1

Doing Business AsIntermountain Health Good Samaritan Hospital

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 06D1028766

Intermountain Health Good Samaritan Hospital · Lafayette, CO
Active · expires May 11, 2027
CLIA Number06D1028766
Laboratory TypeHospital
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorDr. Thomas S. Neuhauser
Laboratory Phone(303) 689-4417
Laboratory LocationIntermountain Health Good Samaritan Hospital200 Exempla Cir, Lafayette, CO 80026
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLEN LIEBGOLD
Specialist/Technologist, Other (Surgical Assistant)
200 EXEMPLA CIR
LAFAYETTE, CO 80026
Boulder County (303) 689-4000
MRS. ANN M AYCRIGG NP
Nurse Practitioner
200 EXEMPLA CIR
LAFAYETTE, CO 80026
Boulder County (303) 338-4545
EXEMPLA GOOD SAMARITAN OUTPATIENT PHARMACY
Pharmacy (Community/Retail Pharmacy)
200 EXEMPLA CIR
LAFAYETTE, CO 80026
Boulder County (303) 689-6121
AMELIA TOMSHACK RN
Registered Nurse
200 EXEMPLA CIR
LAFAYETTE, CO 80026
Boulder County (303) 689-4000
DASTGEER SURGICAL ASSOCIATES
Specialist
200 EXEMPLA CIR
LAFAYETTE, CO 80026
Boulder County (281) 324-5660
EVAN LYNELL GREEN M.D.
Emergency Medicine
200 EXEMPLA CIR
LAFAYETTE, CO 80026
Boulder County (303) 689-4000
EMERGENCY SERVICE PHYSICIANS, INC.
Emergency Medicine
200 EXEMPLA CIR
LAFAYETTE, CO 80026
Boulder County (330) 493-4443
ADRIENNE B COX
Pediatrics (Neonatal-Perinatal Medicine)
200 EXEMPLA CIR, NEONATOLOGY OFFICE
LAFAYETTE, CO 80026
Boulder County (303) 338-4545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Good Samaritan Medical Center, LLC's NPI number?

The NPI number for Good Samaritan Medical Center, LLC is 1043250780. It was assigned to this organization in the NPPES registry on June 8, 2006. The provider is doing business as Intermountain Health Good Samaritan Hospital.

Where is Good Samaritan Medical Center, LLC located?

Good Samaritan Medical Center, LLC is located at 200 Exempla Cir, Lafayette, CO 80026. The listed phone number is (303) 689-4000.

What is Good Samaritan Medical Center, LLC's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Good Samaritan Medical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 06D1028766) is associated with this NPI, valid through May 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Good Samaritan Medical Center, LLC was last updated on October 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.