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SAN JUAN REGIONAL MEDICAL CENTER INC. NPI 1811915234


NPI Information

NPI: 1811915234
Provider Name: SAN JUAN REGIONAL MEDICAL CENTER, INC.

Doing Business As: SJR INTERVENTIONAL SPINE

Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 32D2278390

Address:
2500 FARMINGTON AVE
FARMINGTON, NM
ZIP 87401
Phone: (505) 609-6830
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SAN JUAN REGIONAL MEDICAL CENTER, INC. is a pain medicine anesthesiology in Farmington, NM. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. SAN JUAN REGIONAL MEDICAL CENTER, INC. NPI is 1811915234. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sjr Interventional Spine.

The provider's business location address is:

2500 FARMINGTON AVE
FARMINGTON, NM
ZIP 87401-504
Phone: (505) 609-6830

The provider's authorized official is Kim R Hipsher-byrd .
The authorized official title is Cbo Director and has the following contact phone number (505) 609-2258.

The CLIA number assigned to this NPI record is 32D2278390 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 3/20/2023.


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
1208100000XPhysical Medicine & RehabilitationNo
2208VP0014XPain MedicineInterventional Pain MedicineNo
3207LP2900XAnesthesiologyPain MedicineYes

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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