# SAN JUAN REGIONAL MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427058510
- **Authorized official:** MR. JASON ROUNDS (CEO)
- **Authorized official phone:** (505) 609-2000

## Contact information

- **Practice address:** 801 W MAPLE ST, FARMINGTON, NM 87401-5630
- **Practice address phone:** (505) 325-5011
- **Practice address fax:** (505) 609-6249
- **Mailing address:** 801 W MAPLE ST, FARMINGTON, NM 87401-5630
- **Mailing address phone:** (505) 609-2000
- **Mailing address fax:** (505) 609-2259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 6291 | NM | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |
| 282N00000X | General Acute Care Hospital | 6291 | NM | Yes |
| 341600000X | Ambulance | 6291 | NM | — |
| 3416A0800X | Air Ambulance | 6291 | NM | — |
| 3416L0300X | Land Ambulance | 6291 | NM | — |

## Other

- **Enumeration date:** 07/29/2005
- **Last updated:** 09/02/2026