San Juan Regional Medical Center, Inc.

LBN: San Juan Regional Medical Center, Inc.
San Juan Regional Medical Center, Inc. is an health care organization with primary practice located at 801 W Maple St , Farmington NM 87401-5630. The organization recently has 5 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Hospitals / General Acute Care Hospital, Transportation Services / Ambulance, Transportation Services / Air Transport, Transportation Services / Land Transport. Hospitals / General Acute Care Hospital is the primary health care specialty. San Juan Regional Medical Center, Inc. can be contacted via phone (505) 325-5011, or through Bourgeois, Jeffrey via phone (505) 325-5011.

Contact Information

Primary practice address
801 W Maple St Farmington NM 87401-5630
Phone: (505) 325-5011
Fax: (505) 609-6249
Website:
Map and Directions
Authorized official contact:
Name: Bourgeois, Jeffrey
Phone: (505) 325-5011

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 6291 New Mexico
Hospitals / General Acute Care Hospital 282N00000X 6291 New Mexico
Transportation Services / Ambulance 341600000X 6291 New Mexico
Transportation Services / Air Transport 3416A0800X 6291 New Mexico
Transportation Services / Land Transport 3416L0300X 6291 New Mexico

Profile Details

NPI number 1427058510
LBN Legal business name San Juan Regional Medical Center, Inc.
DBA Doing business as
Authorized official Bourgeois, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2005
Last updated Nov 29th, 2016 - about 10 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 1427058510 NPPES
New Mexico MEDICAID 00000299

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