San Juan Regional Medical Center Inc
Pediatrics
San Juan Regional Medical Center Inc is a Farmington, New Mexico based Pediatric center with medical specialization in
General Pediatrics. San Juan Regional Medical Center Inc is doing business as
San Juan Pediatrics.
It is located at
407 S Schwartz Ave, Suite 102, Farmington, New Mexico - 87401-5925. They can be contacted on phone at
505-609-6700 and fax number 505-609-6701.
NPI number (Unique professional ID) for San Juan Regional Medical Center Inc is
1093800534 which was assigned by NPPES on 03 Oct, 2006 and it was last updated on 27 May, 2011.
San Juan Regional Medical Center Inc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
San Juan Regional Medical Center Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | San Juan Regional Medical Center Inc |
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| Other Name : | San Juan Pediatrics |
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Business Address:
San Juan Regional Medical Center Inc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 407 S Schwartz Ave, Suite 102
Farmington, NM, 87401-5925
United States |
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| Phone Number : | 505-609-6700 |
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| Fax Number : | 505-609-6701 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1093800534 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 03 Oct, 2006 |
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| Last Updated On : | 27 May, 2011 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | J. Michael Philips |
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| Official Title or Position : | CSO |
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| Phone Number : | 505-324-6025 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for San Juan Regional Medical Center Inc are as mentioned. Primary taxonomy code for San Juan Regional Medical Center Inc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of San Juan Regional Medical Center Inc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000S8021 | MEDICAID | NM | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 6210
Farmington, NM, 87499-6210
United States |
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| Phone Number : | 505-609-2258 |
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| Fax Number : | 505-609-2259 |
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Business Location:
Patients can refer following map for directions to
San Juan Regional Medical Center Inc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.