SAN JUAN REGIONAL MEDICAL CENTER INC


Address: 655 W Pinon St, Farmington, NM 87401-5973
Phone: 5056092590

SAN JUAN REGIONAL MEDICAL CENTER INC (NPI# 1124262415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124262415
Entity Type Organization
Organization Name SAN JUAN REGIONAL MEDICAL CENTER INC
Other Organization Name SAN JUAN REGIONAL MIDWIFERY & WOMENS HEALTH CENTER
Practice Address 655 W Pinon St
Farmington
NM 87401-5973
Mailing Address Po Box 6210
Farmington
NM 87499-6210
Practice Telephone 5056092590
Practice Fax Number 5056092595
Mailing Telephone 5056092258
Mailing Fax Number 5056092259
Enumeration Date 2009-04-30
Last Update Date 2009-04-30
Authorized Official Name J MICHAEL PHILIPS (CSO)
Authorized Official Telephone 5056096025
Is Organization Subpart Y
Parent Organization Name SAN JUAN REGIONAL MEDICAL CENTER INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
SAN JUAN REGIONAL MIDWIFERY & WOMENS HEALTH CENTER Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1902463508 San Juan Regional Medical Center Inc Urology 1485 Florida Rd Ste 103a, Durango, CO 81301-6873 2019-05-20
1174820153 San Juan Regional Medical Center Inc Emergency Medicine 4251 English Rd, Farmington, NM 87402-1116 2011-02-28
1811915234 San Juan Regional Medical Center Inc Physical Medicine & Rehabilitation 525 S Schwartz Ave, Farmington, NM 87401-5955 2006-07-17
1225076003 San Juan Regional Medical Center Inc Internal Medicine 407 S. Schwartz Ave, Suite 201, Farmington, NM 87401-5973 2006-06-03
1861467433 San Juan Regional Medical Center Inc Internal Medicine 120 Llano St, Aztec, NM 87410 2006-02-17
1326663592 San Juan Regional Medical Center Inc Rehabilitation Unit 525 S Schwartz Ave, Farmington, NM 87401-5955 2020-06-12
1639662901 San Juan Regional Medical Center Inc Internal Medicine 940 W Pinon St, Farmington, NM 87401-5905 2018-06-12
1508219916 San Juan Regional Medical Center Inc Family Medicine 100 N Church St Ste C, Bloomfield, NM 87413-5754 2016-07-20
1003296534 San Juan Regional Medical Center Inc Urology 2700 Farmington Ave, Building E, Suite 1, Farmington, NM 87401-4559 2015-05-29
1023379609 San Juan Regional Medical Center Inc Specialist/Technologist, Other 801 W Maple St, Farmington, NM 87401-5630 2012-05-31

Office Location

Street Address 655 W PINON ST
City FARMINGTON
State NM
Zip Code 87401-5973

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902872484 Anne Holmes Miller Nurse Practitioner 655 W Pinon St, Farmington, NM 87401-5973 2006-02-24
1487283040 Kristen Joy Galbreath Midwife 655 W Pinon St, Farmington, NM 87401-5973 2020-04-06
1134693690 Hannah Marie Cronbaugh Advanced Practice Midwife 655 W Pinon St, Farmington, NM 87401-5973 2019-01-17
1437397718 Nichele Raquel Salazar Registered Nurse 655 W Pinon St, Farmington, NM 87401-5973 2009-01-26
1033315973 Carol Lynn Ewing Advanced Practice Midwife 655 W Pinon St, Farmington, NM 87401-5973 2007-06-26
1568488617 Rosemary Fleming Nurse Practitioner 655 W Pinon St, Farmington, NM 87401-5973 2006-07-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164035192 Jaylene Miller Behavior Technician 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 2020-08-28
1255940326 John Andrew Martinez Behavioral Analyst 211 N Auburn, Farmington, NM 87401 2020-07-24
1598304990 Chasitity Beulah Nez Behavior Technician 37 Rd 7101 #127, Farmington, NM 87401 2020-01-02
1205478575 Micah Magee Speech-Language Pathologist Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 2019-10-08
1831659754 Lelilah Todacheene Social Worker 1204 Camina Real, Farmington, NM 87401 2019-03-25
1306323555 Litany of Life Counselor 1010 Ridgeway Place, Farmington, NM 87401 2018-07-20
1093291213 Brittany Bigham Nurse Practitioner 1001 W Broadway Ste E, Farmington, NM 87401 2018-07-11
1528556305 Hairoun Home Health Home Health 1200 East 20th Street, Farmington, NM 87401 2018-04-26
1003338732 Silver Tongue Speech & Voice, LLC Clinic/Center 3001 Northridge Dr Ste C, Farmington, NM 87401 2017-07-14
1902256621 Capacity Builders Inc Taxi 418 W Broadway, Farmington, NM 87401 2016-06-14
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831375039 Dennifer D Hardy Nurse Practitioner 193 Front St, Suite 5, Farmington, ME 04938-5834 2008-01-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336322064 Saundra K Mckenna Nurse Practitioner 2074 Galisteo St Ste B1, Santa Fe, NM 87505-2157 2007-12-17
1356392989 Kristen Gorbitz Nurse Practitioner 883 Lead Ave Se, Ste A, Albuquerque, NM 87102-3644 2006-05-16
1265491146 Linda Dominguez Nurse Practitioner 883 Lead Avenue Se Suite A, Alb, NM 87102 2006-03-21
1366439606 Michelle Marie Harmon Nurse Practitioner 208 W Casablanca Cannon Afb, Bldg 1400 27 Medical Group, Clovis, NM 88103-5014 2005-10-03
1740273192 Celeste Baczeski Suminsby Nurse Practitioner 6320 Riverside Plaza Ln Nw Ste A, Albuquerque, NM 87120 2005-08-31
1215933759 Kathleen Jo Austin Nurse Practitioner 385 Calle De Alegra, Bldg. C, Las Cruces, NM 88005 2005-06-21
1821492638 Melissa Ashley Sprinkle Nurse Practitioner 2000 W 21st St, Suite A-1, Clovis, NM 88101-4087 2014-10-22
1689920449 Rebecca Tawney Weatherford Nurse Practitioner 3741 Rutledge Rd Ne, Albuquerque, NM 87109-5566 2012-07-31
1679865844 Phyllis Estes Bergman Nurse Practitioner 2207 San Pedro Dr Ne, Albuquerque, NM 87110-4117 2011-05-06
1942445101 Rose Rowan Nurse Practitioner 801 Vassar Dr Ne, Albuquerque, NM 87106 2008-12-02
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Competitor

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City FARMINGTON
Zip Code 87401

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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