OrganizationActive
San Juan Regional Rehabilitation Hospital, Inc.
NPI 1679573778 · Rehabilitation Hospital · Farmington, NM
Provider details
- NPI number
- 1679573778
- Entity type
- Organization
- Primary specialty
- Rehabilitation HospitalHospitals
- Parent organization
- San Juan Regional Medical Center
- Organization subpart
- Yes
- Authorized official
- Ricky Wallace, Executive Director(505) 609-6110
- License
- 6578 (NM)
Specialties & taxonomies
Hospitals
Hospitals
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
525 S. Schwartz
Farmington, NM 87401-5955
Phone: (505) 609-2625
Fax: (505) 327-6562
Street-level locationGet directions
Mailing address
525 S. Schwartz
Farmington, NM 87401-5955
Other names (DBA / former)
- Former legal business name
- Interface Inc.
Registry dates
- Enumerated
- 2005-07-29
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.