San Juan Regional Medical Center INC

NPI #1093800534 in Farmington, New Mexico

Provider Information

NPI Number
1093800534
Entity Type
Organization
Organization Name
San Juan Regional Medical Center INC
Subpart
Yes (part of a larger organization)
Parent Organization
SAN JUAN REGIONAL MEDICAL CENTER INC
Primary Specialty
Pediatrics
Enumeration Date
Oct 3, 2006
Last Updated
Jul 16, 2025

Practice Location

Address
407 S SCHWARTZ AVE
Address 2
SUITE 102
ZIP Code
87401-5925
Phone
(505) 609-6700

Authorized Official

Name
KIM BYRD
Title
ADMINISTRATIVE DIRECTOR OF REIMBURS
Phone
(505) 609-2258

Specialties & Taxonomy Codes

Specialty
Pediatrics

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