Organization
SAN JUAN REGIONAL MEDICAL CENTER INC
Active
Parent organization
SAN JUAN REGIONAL MEDICAL CENTER INC
Other names
SJHP GASTROENTEROLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN JUAN REGIONAL MEDICAL CENTER INC
Authorized official
KIM R HIPSHER-BYRD (ADMINISTRATIVE DIRECTOR OF REIMBURS)
(505) 609-2258
Entity
Organization
Contact information
Practice address
630 W MAPLE ST, FARMINGTON, NM 87401-6113
(505) 609-6349
(505) 599-4679
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
06/12/2018
Last updated
07/16/2025
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