Organization · Type 2 NPI

San Juan Regional Medical Center Inc

Family Medicine Physician · Farmington, NM

NPI number 1770189045 Active

Practice location

656 W Maple St
Farmington, NM 87401-5968

Call (505) 609-2990 Map

Fax (505) 609-2996

Mailing address

PO Box 6210
Farmington, NM 87499-6210

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6 other providers at this address

Other family medicine physician providers in Farmington

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NPI record

NPI: 1770189045
Entity type: Organization (Type 2)
Issued: Dec 10, 2020
Last updated: Dec 10, 2020
Status: Active
Subpart: Yes of San Juan Regional Medical Center Inc

Other names

SJHP Family Medicine Farmington · doing business as
SJHP Family Medicine Farmington · other name

Authorized official

Kim R Hipsher-Byrd
Cbo Director
(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 1770189045

San Juan Regional Medical Center Inc's National Provider Identifier is 1770189045, issued on Dec 10, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Farmington, NM. The record was last updated on Dec 10, 2020.