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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
SAN JUAN REGIONAL MIDWIFERY & WOMENS HEALTH CENTER | Doing Business As Name - Organization |
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 |
Street Address |
655 W PINON ST |
City | FARMINGTON |
State | NM |
Zip Code | 87401-5973 |
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 |
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 |
Find all providers in zip 87401 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831375039 | Dennifer D Hardy | Nurse Practitioner | 193 Front St, Suite 5, Farmington, ME 04938-5834 | 2008-01-17 |
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 |
Find all providers with the same taxonomy |
City | FARMINGTON |
Zip Code | 87401 |
Please comment or provide details below to improve the information on SAN JUAN REGIONAL MEDICAL CENTER INC.
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.