SAN JUAN REGIONAL MEDICAL CENTER INC – NPI #1174820153
Emergency Medicine

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

Health Care Provider Taxonomy Code for Emergency Medicine

SAN JUAN REGIONAL MEDICAL CENTER INC is a provider located in FARMINGTON, NM. NPPES has assigned the NPI number 1174820153 to SAN JUAN REGIONAL MEDICAL CENTER INC on February 28, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207PE0005X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Undersea and Hyperbaric Medicine

The NPI profile was last updated on Jul 16, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAN JUAN REGIONAL MEDICAL CENTER INC below.

NPI Profile for
SAN JUAN REGIONAL MEDICAL CENTER INC

NPI Number
1174820153
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAN JUAN REGIONAL MEDICAL CENTER INC
Other name(s)
All associated names:
Doing Business As (dba)
SJR Wound Treatment Center
Doing Business As (dba)
SJRMC Wound Treatment Center
Primary location
4820 E MAIN ST
FARMINGTON, NM 87402-8660
Phone: (505) 609-6610 Fax:
1 Other location(s):
4251 English Rd
Farmington, NM 87402-1116
Phone: (505) 609-6610
Fax: (505) 609-6608
Mailing address
PO BOX 844088
DALLAS, TX 75284-4088
Phone: (505) 609-2258 Fax: (505) 609-2259
Organization Subpart
No
Authorized Official
KIM BYRD
ADMINISTRATIVE DIRECTOR OF REIMBURS
Phone: (505) 609-2258
Updated
Certification Date
Jul 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207PE0005X
- Emergency Medicine / Undersea and Hyperbaric Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.