GOOD SAMARITAN CLINIC OF WESTERN COLORADO
NPI 1356841779
General Practice in Grand Junction, CO

Active since February 13, 2018CLIA 06D2298030 · Waiver
402 GRAND AVE, GRAND JUNCTION, CO 81501(970) 712-6518 Get Directions Write a Review

NPPES record last updated: February 13, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Good Samaritan Clinic Of Western Colorado NPPES

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

GOOD SAMARITAN CLINIC OF WESTERN COLORADO (NPI 1356841779) is a healthcare organization registered as a general practice in Grand Junction, Colorado and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through January 25, 2028 and lists Elaine Taylor, Executuve Director, as its authorized official.

NPPES Registry Identity

NPI1356841779
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGOOD SAMARITAN CLINIC OF WESTERN COLORADO
Location Address402 GRAND AVEGrand Junction, CO 81501-2534
Mailing Address402 Grand AveGrand Junction, CO 81501-2534 · (970) 712-6518
Organization SubpartNo
Authorized OfficialElaine TaylorExecutuve Director · (970) 290-1552
Enumeration DateFebruary 13, 2018
NPI 1356841779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
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
402 GRAND AVE, Grand Junction, CO 81501

Other Identifiers 1

OtherFC0340Ftca Free Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Waiver 06D2298030

Good Samaritan Clinic Of West Co · Grand Junction, CO
Active · expires Jan 25, 2028
CLIA Number06D2298030
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorPhilip Mohler
Laboratory Phone(970) 712-6518
Laboratory LocationGood Samaritan Clinic Of West Co402 Grand Ave, Grand Junction, CO 81501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Clinic Of Western Colorado's NPI number?

The NPI number for Good Samaritan Clinic Of Western Colorado is 1356841779. It was assigned to this organization in the NPPES registry on February 13, 2018.

Where is Good Samaritan Clinic Of Western Colorado located?

Good Samaritan Clinic Of Western Colorado is located at 402 Grand Ave, Grand Junction, CO 81501. The listed phone number is (970) 712-6518.

What is Good Samaritan Clinic Of Western Colorado's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Good Samaritan Clinic Of Western Colorado hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2298030) is associated with this NPI, valid through January 25, 2028. 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 Clinic Of Western Colorado was last updated on February 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.