SAN JUAN COLLEGE NPI 1427869569

NPI Information

  • NPI: 1427869569
  • Provider Name: SAN JUAN COLLEGE
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 4601 COLLEGE BLVD
    FARMINGTON, NM
    ZIP 87402
  • Phone: (505) 566-4255

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NPI Details

SAN JUAN COLLEGE is a health service clinic center in Farmington, NM. SAN JUAN COLLEGE NPI is 1427869569. The provider is registered as an organization entity type.

The provider's business location address is:

4601 COLLEGE BLVD
FARMINGTON, NM
ZIP 87402-699
Phone: (505) 566-4255
Fax: (505) 566-3770

The provider's authorized official is Charisse Buchanan .
The authorized official title is Health Center Director and has the following contact phone number (505) 566-3313.

The enumeration date for this NPI number is 1/17/2025 and was last updated on 1/17/2025.

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
1261QH0100XClinic/CenterHealth ServiceYes

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: 11/21/2025

NPI Synchronization or Removal

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