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SAN JUAN REGIONAL MEDICAL CENTER INC NPI 1225076003


NPI Information

NPI: 1225076003
Provider Name: SAN JUAN REGIONAL MEDICAL CENTER INC

Doing Business As: SJRMC INTERNAL MEDICINE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 32D0943695

Address:
407 S. SCHWARTZ AVE
SUITE 201
FARMINGTON, NM
ZIP 87401
Phone: (505) 609-6730
Get Directions

SAN JUAN REGIONAL MEDICAL CENTER INC is an internal medicine in Farmington, NM. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SAN JUAN REGIONAL MEDICAL CENTER INC NPI is 1225076003. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sjrmc Internal Medicine.

The provider's business location address is:

407 S. SCHWARTZ AVE
SUITE 201
FARMINGTON, NM
ZIP 87401-973
Phone: (505) 609-6730
Fax: (505) 609-6749

The provider's authorized official is J Michael Philips .
The authorized official title is Cso and has the following contact phone number (505) 609-2000.

The CLIA number assigned to this NPI record is 32D0943695 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/3/2006 and was last updated on 3/10/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
3207R00000XInternal MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000Q6471MEDICAIDNEW 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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