San Juan Pediatrics

LBN: San Juan Regional Medical Center Inc
San Juan Pediatrics is an health care organization with primary practice located at 407 S Schwartz Ave Suite 102, Farmington NM 87401-5925. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. San Juan Regional Medical Center Inc can be contacted via phone (505) 609-6700, or through Philips, J. Michael via phone (505) 324-6025.

Contact Information

Primary practice address
407 S Schwartz Ave Suite 102 Farmington NM 87401-5925
Phone: (505) 609-6700
Fax: (505) 609-6701
Website:
Map and Directions
Authorized official contact:
Name: Philips, J. Michael
Phone: (505) 324-6025

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1093800534
LBN Legal business name San Juan Regional Medical Center Inc
DBA Doing business as San Juan Pediatrics
Authorized official Philips, J. Michael
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 3rd, 2006
Last updated May 27th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093800534 NPPES
New Mexico MEDICAID 000S8021

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