Organization
SAN JUAN REGIONAL MEDICAL CENTER INC
Active
Other names
SJR Brain and Spine
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
407 S SCHWARTZ AVE STE 101, FARMINGTON, NM 87401-5925
(505) 609-6595
(505) 609-6579
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000T8636
—
NM
Enumeration date
07/18/2006
Last updated
07/17/2025
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