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Organization
SAN JUAN REGIONAL MEDICAL CENTER INC
Active
Organization
SAN JUAN REGIONAL MEDICAL CENTER INC
Active
Parent organization
SAN JUAN REGIONAL MEDICAL CENTER INC
Other names
SAN JUAN REGIONAL MIDWIFERY & WOMENS HEALTH CENTER, SJHP OB & GYN 634, SJHP OB & GYN 610
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN JUAN REGIONAL MEDICAL CENTER INC
Authorized official
KIM BYRD (ADMINISTRATIVE DIRECTOR OF REIMBURS)
(505) 609-2258
Entity
Organization
Contact information
Practice address
655 W PINON ST, FARMINGTON, NM 87401-5973
(505) 609-2590
(505) 609-2595
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
NULL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Enumeration date
04/30/2009
Last updated
07/16/2025
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