Organization · Type 2 NPI

San Juan Regional Medical Center Inc

Gastroenterology Physician · Farmington, NM

NPI number 1639662901 Active

Practice location

630 W Maple St
Farmington, NM 87401-6113

Call (505) 609-6349 Map

Fax (505) 599-4679

Mailing address

PO Box 844088
Dallas, TX 75284-4088

Specialties and licenses

Taxonomy	Code	License
Gastroenterology Physician Primary	207RG0100X	None listed

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

15 other providers at this address

Other gastroenterology physician providers in Farmington

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NPI record

NPI: 1639662901
Entity type: Organization (Type 2)
Issued: Jun 12, 2018
Last updated: Jul 16, 2025
Status: Active
Subpart: Yes of San Juan Regional Medical Center Inc

Other names

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SJHP Gastroenterology · doing business as
SJHP Gastroenterology · doing business as

Authorized official

Kim R Hipsher-Byrd
Administrative Director of Reimburs
(505) 609-2258

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639662901

San Juan Regional Medical Center Inc's National Provider Identifier is 1639662901, issued on Jun 12, 2018. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Farmington, NM. The record was last updated on Jul 16, 2025.