SAN JUAN REGIONAL MEDICAL CENTER, INC. (NPI# 1427058510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427058510 |
Entity Type | Organization |
Organization Name | SAN JUAN REGIONAL MEDICAL CENTER, INC. |
Practice Address |
801 W Maple St Farmington NM 87401-5630 |
Mailing Address |
801 West Maple Street Farmington NM 87401-5630 |
Practice Telephone | 5053255011 |
Practice Fax Number | 5056096249 |
Mailing Telephone | 5053255011 |
Mailing Fax Number | 5056096249 |
Enumeration Date | 2005-07-29 |
Last Update Date | 2016-11-29 |
Authorized Official Name | MR. JEFFREY BOURGEOIS (PRESIDENT AND CEO) |
Authorized Official Telephone | 5053255011 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 341600000X | Ambulance | 6291 | NM | Transportation Services |
N | 3416A0800X |
Ambulance Specialization: Air Transport |
6291 | NM | Transportation Services |
N | 3416L0300X |
Ambulance Specialization: Land Transport |
6291 | NM | Transportation Services |
N | 231H00000X | Audiologist | 6291 | NM | Speech, Language and Hearing Service Providers |
Y | 282N00000X | General Acute Care Hospital | 6291 | NM | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 00000299 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | San Juan Regional Medical Center, Inc. | 1485 Florida Road, Suite A 103, Durango, CO 81301 |
System for Award Management (SAM) Entities | SAN JUAN REGIONAL MEDICAL CENTER, INC. | 801 W Maple St, Farmington, NM 87401-5630 |
Street Address |
801 W MAPLE ST |
City | FARMINGTON |
State | NM |
Zip Code | 87401-5630 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962038729 | Alexia Hay | Physical Therapist | 801 W Maple St, Farmington, NM 87401-5630 | 2020-03-12 |
1679107007 | Darcy Ernat | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2020-02-25 |
1790320307 | Benton James Lunt | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2019-11-07 |
1083258768 | Stacey Mclendon | Pharmacist | 801 W Maple St, Farmington, NM 87401-5630 | 2019-11-05 |
1730723560 | Anna Victoria Buck | Nurse Practitioner | 801 W Maple St, Farmington, NM 87401-5630 | 2019-11-05 |
1083264592 | Clay Church | Nurse Practitioner | 801 W Maple St, Farmington, NM 87401-5630 | 2019-09-17 |
1982253449 | Christine Graves | Nurse Practitioner | 801 W Maple St, Farmington, NM 87401-5630 | 2019-09-08 |
1174088280 | Laura Chase | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2019-02-02 |
1477036572 | Lynndi Wilson | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2018-09-13 |
1093295578 | Daniel Herring | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2018-08-15 |
Find all providers in the same location |
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 | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
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1932369907 | University of Connecticut Health Center | General Acute Care Hospital | 263 Farmington Ave # Mc-1119, Farmington, CT 06030-0001 | 2008-06-13 |
1962431791 | The Center for Advanced Reproductive Services, P.c | General Acute Care Hospital | 877 Plainville Ave, Farmington, CT 06032-3121 | 2006-07-02 |
1609356419 | Mainehealth | General Acute Care Hospital | 111 Franklin Health Cmns, Farmington, ME 04938-6144 | 2018-08-21 |
1568994713 | Uconn | General Acute Care Hospital | 263 Farmington Ave, Uconn, Farmington, CT 06030-0001 | 2017-03-28 |
1285080648 | Uconn Health | General Acute Care Hospital | 263 Farmington Ave, Farmington, CT 06030-0001 | 2016-05-04 |
1750776365 | Parkland Health Center - Weber Road | General Acute Care Hospital | 1212 Weber Rd, Farmington, MO 63640-3325 | 2015-03-31 |
1346651015 | University of Connecticut Health Center | General Acute Care Hospital | 263 Farmington Ave, Farmington, CT 06030-1720 | 2014-05-15 |
1215363700 | Capital Area Health Consortium | General Acute Care Hospital | 263 Farmington Ave, Farmington, CT 06030-0001 | 2013-09-17 |
1760821896 | Uconn Correctional Managed Healthcare | General Acute Care Hospital | 263 Farmington Ave, Farmington, CT 06032-1956 | 2013-06-21 |
Find all providers in FARMINGTON |
City | FARMINGTON |
Zip Code | 87401 |
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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.