Good Samaritan Clinic of Western Colorado

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GOOD SAMARITAN CLINIC OF WESTERN COLORADO

Practice address

402 Grand Ave
Grand Junction, CO 81501-2534

Phone

(970) 712-6518

NPI assigned

Feb 13, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elaine Taylor, RN

Title

Executuve Director

Phone

(970) 290-1552

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1356841779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 GRAND AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012534",
            "telephone_number": "970-712-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 GRAND AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012534",
            "telephone_number": "970-712-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN CLINIC OF WESTERN COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "EXECUTUVE DIRECTOR",
        "authorized_official_telephone_number": "970-290-1552",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FTCA FREE CLINIC",
            "identifier": "FC0340",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genavee Lanee Gonzales
• Kari L Gonzales, M.A. LPC
• Michele Gonzales, MSED, BCBA
• Shania Gonzales
• Emily Lynn Gonzalez, DPT, PT
• Katrina Jeanne Good
• Tara Good
• Nikki Ann Goodenough - Lacina, LPC
• Ryan Glynn Goodman
• Teresa Marie Goodman, MA, LPC

• General Practice Physician in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• General Practice Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.