Organization
SAN JUAN HEALTH PARTNERS INC
Active
Parent organization
SAN JUAN REGIONAL MEDICAL CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN JUAN REGIONAL MEDICAL CENTER INC
Authorized official
J MICHAEL PHILIPS (CSO)
(505) 609-6025
Entity
Organization
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-2258
(505) 609-2259
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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