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SAN JUAN REGIONAL MEDICAL CENTER INC NPI 1124262415


NPI Information

NPI: 1124262415
Provider Name: SAN JUAN REGIONAL MEDICAL CENTER INC

Doing Business As: SAN JUAN REGIONAL MIDWIFERY & WOMENS HEALTH CENTER

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
655 W PINON ST
FARMINGTON, NM
ZIP 87401
Phone: (505) 609-2590
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SAN JUAN REGIONAL MEDICAL CENTER INC is an obstetrics gynecology in Farmington, NM. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SAN JUAN REGIONAL MEDICAL CENTER INC NPI is 1124262415. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As San Juan Regional Midwifery & Womens Health Center.

The provider's business location address is:

655 W PINON ST
FARMINGTON, NM
ZIP 87401-973
Phone: (505) 609-2590
Fax: (505) 609-2595

The provider's authorized official is John Mayer .
The authorized official title is Cso and has the following contact phone number (505) 609-2000.

The enumeration date for this NPI number is 4/30/2009 and was last updated on 9/6/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LX0001XNurse PractitionerObstetrics & GynecologyNo
2207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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