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Organization

SAN JUAN REGIONAL MEDICAL CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIM R HIPSHER-BYRD (ADMINISTRATIVE DIRECTOR OF REIMBURS)
(505) 609-2258
Entity
Organization

Contact information

Practice address
2300 E 30TH ST BLDG D-101, FARMINGTON, NM 87401-8991
(505) 208-6280
(505) 564-3202
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258
(505) 609-2259

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
213ES0103X
Foot & Ankle Surgery Podiatrist
2251X0800X
Orthopedic Physical Therapist

Other

Enumeration date
02/24/2026
Last updated
02/24/2026
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