OrganizationActive
San Juan Regional Medical Center Inc
NPI 1639662901 · Gastroenterology Physician · Farmington, NM
Provider details
- NPI number
- 1639662901
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- San Juan Regional Medical Center Inc
- Organization subpart
- Yes
- Authorized official
- Kim Hipsher-Byrd, Administrative Director of Reimburs(505) 609-2258
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
630 W Maple St
Farmington, NM 87401-6113
Phone: (505) 609-6349
Fax: (505) 599-4679
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 844088
Dallas, TX 75284-4088
Other names (DBA / former)
- Doing business as
- Sjhp Gastroenterology
- Doing business as
- Sjhp Gastroenterology
Registry dates
- Enumerated
- 2018-06-12
- Last updated
- 2025-07-16
- Certified
- 2025-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.