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Organization

SAN JUAN REGIONAL MEDICAL CENTER INC

Active
Parent organization
SAN JUAN REGIONAL MEDICAL CENTER INC
Other names
SJHP FAMILY MEDICINE FARMINGTON, SJHP FAMILY MEDICINE FARMINGTON
Organization subpart
Yes

Provider details

NPI number
Legal business name
SAN JUAN REGIONAL MEDICAL CENTER INC
Authorized official
KIM R HIPSHER-BYRD (CBO DIRECTOR)
(505) 609-2258
Entity
Organization

Contact information

Practice address
656 W MAPLE ST, FARMINGTON, NM 87401-5968
(505) 609-2990
(505) 609-2996
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 609-2258
(505) 609-2259

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
12/10/2020
Last updated
12/10/2020
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