Organization
SAN JUAN REGIONAL MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MAYER (CFO)
(505) 609-2000
Entity
Organization
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 325-5011
(505) 609-6249
Mailing address
801 WEST MAPLE STREET, FARMINGTON, NM 87401-5630
(505) 325-5011
(505) 609-6249
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
6291
NM
282N00000X
General Acute Care Hospital
Primary
6291
NM
341600000X
Ambulance
6291
NM
3416A0800X
Air Ambulance
6291
NM
3416L0300X
Land Ambulance
6291
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000299
—
NM
Enumeration date
07/29/2005
Last updated
07/09/2025
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