SAN JUAN NEPHROLOGY NPI 1104903434

NPI Information

NPI: 1104903434
Provider Name: SAN JUAN NEPHROLOGY
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
634 W PINON ST
FARMINGTON, NM
ZIP 87401
Phone: (866) 541-3690
Get Directions

SAN JUAN NEPHROLOGY is a nephrology internal medicine in Farmington, NM. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. SAN JUAN NEPHROLOGY NPI is 1104903434. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

634 W PINON ST
FARMINGTON, NM
ZIP 87401-915
Phone: (866) 541-3690
Fax: (866) 541-3691

The provider's authorized official is Marjorie Gayle Murphy .
The authorized official title is Member and has the following contact phone number (866) 541-3690.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 4/20/2008.

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
1	207RN0300X	Internal Medicine	Nephrology			Yes

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
1	502121	MEDICAID	ARIZONA
2	C370208	MEDICARE PIN	COLORADO
3	CH5083	MEDICARE PIN
4	Z61060	MEDICARE PIN	ARIZONA
5	SAS65104	OTHER	COLORADO	CO BCBS
6	=========006	MEDICAID	UTAH
7	Z61061	MEDICARE PIN	ARIZONA
8	7388	OTHER	NEW MEXICO	NM BCBS
9	95023071	MEDICAID	COLORADO
10	76102	MEDICAID	NEW 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: 4/28/2024

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