Intermountain Health Good Samaritan Pharmacy

LBN: Sisters Of Charity Of Leavenworth Health System Inc
Intermountain Health Good Samaritan Pharmacy is an health care organization with primary practice located at 200 Exempla Cir Ste P1-142 , Lafayette CO 80026-3370. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. Sisters Of Charity Of Leavenworth Health System Inc can be contacted via phone (303) 689-6121, or through Dunford, Carrie via phone (801) 284-1049.

Contact Information

Primary practice address
200 Exempla Cir Ste P1-142 Lafayette CO 80026-3370
Phone: (303) 689-6121
Fax: (303) 689-6126
Website:
Map and Directions
Authorized official contact:
Name: Dunford, Carrie
Phone: (801) 284-1049

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PDO.1680000162 Colorado
Suppliers / Institutional Pharmacy 3336I0012X

Profile Details

NPI number 1720525124
LBN Legal business name Sisters Of Charity Of Leavenworth Health System Inc
DBA Doing business as Intermountain Health Good Samaritan Pharmacy
Authorized official Dunford, Carrie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2017
Last updated Jun 24th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720525124 NPPES
Other 2176193 PK

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