National Provider Identifier Database

SAN JUAN REGIONAL REHABILITATION HOSPITAL INC
Rehabilitation Hospital

A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.


Contact Information

SAN JUAN REGIONAL REHABILITATION HOSPITAL, INC.
525 S. SCHWARTZ
FARMINGTON, NM87401-5955
Phone: 505-609-2625
Fax: 505-327-6562
Website:
Specialty Taxonomy Code
* Rehabilitation Hospital 283X00000X

* Indicates primary specialty

NPI Profile & details for SAN JUAN REGIONAL REHABILITATION HOSPITAL, INC.

NPI Number 1679573778
Legal business name
LBN
SAN JUAN REGIONAL REHABILITATION HOSPITAL, INC.
Authorized official RICKY WALLACE - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 07/29/2005
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 6578
  • NM Medicaid: B2236

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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