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Contact Information

SAN JUAN REGIONAL MEDICAL CENTER INC
407 S. SCHWARTZ AVE
SUITE 201
FARMINGTON, NM87401-5973
 Phone: 505-609-6730
 Fax: 505-609-6749
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SAN JUAN REGIONAL MEDICAL CENTER INC

NPI # 1225076003
LBN Legal business name SAN JUAN REGIONAL MEDICAL CENTER INC
Authorized official KIM BYRD - (ADMINISTRATIVE DIRECTOR OF REIMBURS)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/03/2006
Last updated 07/16/2025 - About 11 months ago
Identifiers
NM Medicaid 000Q6471
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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