SAN JUAN REGIONAL MEDICAL CENTER INC (NPI# 1508219916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508219916 |
| Entity Type | Organization |
| Organization Name | SAN JUAN REGIONAL MEDICAL CENTER INC |
| Other Organization Name | SAN JUAN HEALTH PARTNERS WALK-IN CLINIC |
| Practice Address |
100 N Church St Ste C Bloomfield NM 87413-5754 |
| Mailing Address |
Po Box 6210 Farmington NM 87499-6210 |
| Practice Telephone | 5056096675 |
| Practice Fax Number | 5056096579 |
| Mailing Telephone | 5056092258 |
| Mailing Fax Number | 5056092259 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |
| Authorized Official Name | KAREN S MILLER (CFO) |
| Authorized Official Telephone | 5056096114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SAN JUAN HEALTH PARTNERS WALK-IN CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902463508 | San Juan Regional Medical Center Inc | Urology | 1485 Florida Rd Ste 103a, Durango, CO 81301-6873 | 2019-05-20 |
| 1174820153 | San Juan Regional Medical Center Inc | Emergency Medicine | 4251 English Rd, Farmington, NM 87402-1116 | 2011-02-28 |
| 1811915234 | San Juan Regional Medical Center Inc | Physical Medicine & Rehabilitation | 525 S Schwartz Ave, Farmington, NM 87401-5955 | 2006-07-17 |
| 1225076003 | San Juan Regional Medical Center Inc | Internal Medicine | 407 S. Schwartz Ave, Suite 201, Farmington, NM 87401-5973 | 2006-06-03 |
| 1861467433 | San Juan Regional Medical Center Inc | Internal Medicine | 120 Llano St, Aztec, NM 87410 | 2006-02-17 |
| 1326663592 | San Juan Regional Medical Center Inc | Rehabilitation Unit | 525 S Schwartz Ave, Farmington, NM 87401-5955 | 2020-06-12 |
| 1639662901 | San Juan Regional Medical Center Inc | Internal Medicine | 940 W Pinon St, Farmington, NM 87401-5905 | 2018-06-12 |
| 1003296534 | San Juan Regional Medical Center Inc | Urology | 2700 Farmington Ave, Building E, Suite 1, Farmington, NM 87401-4559 | 2015-05-29 |
| 1023379609 | San Juan Regional Medical Center Inc | Specialist/Technologist, Other | 801 W Maple St, Farmington, NM 87401-5630 | 2012-05-31 |
| 1639459712 | San Juan Regional Medical Center Inc | Anesthesiology | 801 W Maple St, Farmington, NM 87401-5630 | 2011-08-22 |
| Street Address |
100 N CHURCH ST STE C |
| City | BLOOMFIELD |
| State | NM |
| Zip Code | 87413-5754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497786354 | James B Guynn | Nurse Practitioner | 100 N Church St Ste C, Bloomfield, NM 87413-5754 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396057 | Heather Smith | Behavior Technician | 25a Cr 5060, Bloomfield, NM 87413 | 2020-11-04 |
| 1104292325 | Michelle Childers-beck | Social Worker | 235 N Bergin Lane, Bloomfield, NM 87413 | 2015-08-12 |
| 1427364090 | Marichu Lazo | Occupational Therapy Assistant | 803 Hacienda Lane, Bloomfield, NM 87413 | 2010-08-20 |
| 1023344181 | Sundance Dental Care of Bloomfield, LLC. | Dentist | 100 South First Street, Bloomfield, NM 87413 | 2009-10-26 |
| 1972838266 | Chris Dwight Richardson | Physical Therapy Assistant | #6 Cty Rd 5149, Bloomfield, NM 87413 | 2009-10-05 |
| 1710025028 | Roy Hernandez | Speech-Language Pathologist | 325 North Bergin Lane, Bloomfield, NM 87413 | 2007-02-01 |
| 1760427587 | Dhhs, Phs, Naihs, Shiprock Hospital | Clinic/Center | 6 Road 7586, Bloomfield, NM 87413 | 2006-06-17 |
| 1568500833 | Connie Hernandez | Speech-Language Pathologist | 325 North Bergin Lane, Bloomfield, NM 87413-2430 | 2007-02-01 |
| 1841453636 | James Bellah | Family Medicine | 6 County Road 7586, Bloomfield, NM 87413-4934 | 2008-07-02 |
| 1598751778 | David Lynn Doss | Optometrist | 6 Road 7586, Bloomfield, NM 87413-4934 | 2005-09-23 |
| Find all providers in zip 87413 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245593300 | Joshua Cullison | Family Medicine | 55 N Judge St Ste A, Bloomfield, IN 47424-1231 | 2012-06-22 |
| 1134365711 | Barrie Baker | Family Medicine | 700 Bloomfield Ave # 550, Bloomfield, CT 06002-2497 | 2009-01-01 |
| 1841453636 | James Bellah | Family Medicine | 6 County Road 7586, Bloomfield, NM 87413-4934 | 2008-07-02 |
| 1144344094 | Pascale Kerlegrand | Family Medicine | 198 Bloomfield Ave Apt 410, Bloomfield, NJ 07003-5781 | 2007-03-18 |
| 1629140876 | James Mcguinness | Family Medicine | 15 Este Pl, Bloomfield, NJ 07003-4120 | 2006-11-14 |
| 1376561951 | Stephen Edward Sparks | Family Medicine | 505 N Madison St, Bloomfield, IA 52537-1247 | 2006-07-18 |
| 1801811310 | Hemlata Bhatia | Family Medicine | 332 Bloomfield Ave, Bloomfield, NJ 07003-4806 | 2006-07-13 |
| 1265480040 | Distaff Professionals, LLC | Family Medicine | 607 W Jefferson St, Bloomfield, IA 52537-1516 | 2006-05-04 |
| 1033182092 | Peter W Somers | Family Medicine | 101 South Prairie Street, Bloomfield, MO 63825 | 2006-02-09 |
| 1245226406 | Eric Robin Goldberg | Family Medicine | 421 Cottage Grove Rd, Suite B, Bloomfield, CT 06002-3119 | 2005-09-23 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 87413 |
Please comment or provide details below to improve the information on SAN JUAN REGIONAL MEDICAL CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.