# GOOD SAMARITAN MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC
- **Other names:** Good Samaritan Hospital Health and Healing Center, Intermountain Health Good Samaritan Hospital, Good Samaritan Hospital - Interventional Radiologists, Good Samaritan Hospital - Cancer Centers of Colorado, Good Samaritan Hospital - Critical Care and Pulmonology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043250780
- **Legal business name:** SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC
- **Authorized official:** SEAN FADDEN (VP FINANCE)
- **Authorized official phone:** (303) 425-2410

## Contact information

- **Practice address:** 200 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
- **Practice address phone:** (303) 689-4000
- **Practice address fax:** (303) 467-4156
- **Mailing address:** 500 ELDORADO BLVD, STE 6250, BROOMFIELD, CO 80021-3408
- **Mailing address phone:** (303) 272-0820
- **Mailing address fax:** (303) 689-6674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0127X | Trauma Surgery Physician | — | NULL | — |
| 2086S0127X | Trauma Surgery Physician | — | — | — |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 10/17/2023