SAN JUAN REGIONAL REHABILITATION HOSPITAL INC. NPI 1679573778

NPI Information

SAN JUAN REGIONAL REHABILITATION HOSPITAL, INC. is a rehabilitation hospital in Farmington, NM. The provider is a hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. SAN JUAN REGIONAL REHABILITATION HOSPITAL, INC. NPI is 1679573778. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Interface Inc..

The provider's business location address is:

525 S. SCHWARTZ
FARMINGTON, NM
ZIP 87401-955
Phone: (505) 609-2625
Fax: (505) 327-6562

The provider's authorized official is Ricky D. Wallace .
The authorized official title is Executive Director and has the following contact phone number (505) 609-6110.

The enumeration date for this NPI number is 7/29/2005 and was last updated on 7/21/2022.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.