Organization
SAN JUAN REGIONAL MEDICAL CENTER INC
Active
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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