SAN JUAN REGIONAL MEDICAL CENTER INC NPI 1033327770

NPI Information

  • NPI: 1033327770
  • Provider Name: SAN JUAN REGIONAL MEDICAL CENTER INC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Doing Business As: SAN JUAN REGIONAL HEART CENTER
  • CLIA Number: 32D1076208
  • Address: 407 S SCHWARTZ AVE
    SUITE 202
    FARMINGTON, NM
    ZIP 87401
  • Phone: (505) 609-6770

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NPI Details

SAN JUAN REGIONAL MEDICAL CENTER INC is a cardiovascular disease internal medicine in Farmington, NM. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SAN JUAN REGIONAL MEDICAL CENTER INC NPI is 1033327770. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As San Juan Regional Heart Center.

The provider's business location address is:

407 S SCHWARTZ AVE
SUITE 202
FARMINGTON, NM
ZIP 87401
Phone: (505) 609-6770
Fax: (505) 609-6775

The provider's authorized official is Karen Miller .
The authorized official title is Cfo and has the following contact phone number (505) 609-2000.

The CLIA number assigned to this NPI record is 32D1076208 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 7/30/2018.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary DiseaseNo
2208800000XUrologyNo
3207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
139608514MEDICAIDCOLORADO
297172766MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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