SAN JUAN REGIONAL MEDICAL CENTER INC – NPI #1033327770
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

SAN JUAN REGIONAL MEDICAL CENTER INC is a provider located in FARMINGTON, NM. NPPES has assigned the NPI number 1033327770 to SAN JUAN REGIONAL MEDICAL CENTER INC on May 18, 2007. 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. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

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
1033327770
Enumeration Date

(more than 19 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)
SAN JUAN REGIONAL CARDIOLOGY
Doing Business As (dba)
San Juan Regional Heart Center
Primary location
407 S SCHWARTZ AVE
SUITE 202
FARMINGTON, NM 87401
Phone: (505) 609-6770 Fax: (505) 609-6775
1 Other location(s):
480 Wolverine Dr Ste 12
Bayfield, CO 81122-9653
Phone: (970) 444-0260
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.

Identifiers

Identifiers for SAN JUAN REGIONAL MEDICAL CENTER INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCO39608514
medicaidNM97172766
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
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
208800000X
- Urology
207RP1001X
- Internal Medicine / Pulmonary Disease

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.