SAN JUAN HEALTH SERVICES, LLC (NPI# 1487946679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487946679 |
| Entity Type | Organization |
| Organization Name | SAN JUAN HEALTH SERVICES, LLC |
| Practice Address |
301 South Lake Farmington NM 87401 |
| Mailing Address |
950 West Pinon Farmington NM 87401 |
| Practice Telephone | 5055648200 |
| Practice Fax Number | 5055991838 |
| Mailing Telephone | 5055648200 |
| Mailing Fax Number | 5055991838 |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2017-06-19 |
| Authorized Official Name | VIRGINIA A WELLS (DIRECTOR) |
| Authorized Official Telephone | 5055648200 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 246QH0600X |
Spec/Tech, Pathology Specialization: Histology |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
301 SOUTH LAKE |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401 |
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578837472 | Earthworthy Compassionate Care | Clinic/Center | 714 W Main St, Suite F, Farmington, NM 87401-5639 | 2012-02-24 |
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| 1528579596 | Full Circle Health and Wellness LLC | Clinic/Center | 1702 W Gilchrist Ave, Artesia, NM 88210-1100 | 2017-10-18 |
| 1972038917 | Pa Medical Rehab Center LLC | Clinic/Center | 2900 Louisiana Blvd Ne Ste H, Albuquerque, NM 87110-3565 | 2017-04-27 |
| 1144676149 | Acuhealth Acupuncture, LLC | Clinic/Center | 511 W San Mateo Rd, Santa Fe, NM 87505-4027 | 2016-05-09 |
| 1093075277 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 400 Marquette Ave Nw, City Hall Bldg., Basement B-06, Albuquerque, NM 87102-2147 | 2012-05-22 |
| 1750687190 | Daves Health Services, LLC | Clinic/Center | 110 S Halagueno St, Carlsbad, NM 88220-5748 | 2011-02-02 |
| 1699079459 | Nm Health Care To You LLC | Clinic/Center | 4535 Schiff Trail, Silver City, NM 88061 | 2011-01-07 |
| 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 HEALTH SERVICES, LLC.
| 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.