San Juan Regional Medical Center INC
Anesthesiology in Farmington, NM. Organization (NPI-2).
NPI number1639459712
StatusActive
Last updated in NPPESJul 16, 2025
Details
- NPI
- 1639459712
- Entity type
- Organization (NPI-2)
- Legal business name
- San Juan Regional Medical Center INC
- Organization subpart
- No
- Enumeration date
- Aug 22, 2011
- Certification date
- Jul 16, 2025
- Last updated
- Jul 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | NM | Yes |
Other names
- San Juan Regional Anesthesia (Doing Business As)
Practice location
801 W Maple StFarmington, NM 87401-5630
Phone 505-609-2258 · Fax 505-609-2259
Mailing address
Po Box 844088Dallas, TX 75284-4088
Phone 505-609-2258 · Fax 505-609-2259
Authorized official
Kim Byrd
Administrative Director Of Reimburs
5056092258
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