San Juan Regional Rehabilitation Hospital, Inc.
NPI 1679573778 · Rehabilitation Hospital · Farmington, NM
San Juan Regional Rehabilitation Hospital, Inc. is a Rehabilitation Hospital organization in Farmington, NM (NPI 1679573778).
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
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
Mailing address
Other names (DBA / former)
- Former legal business name
- Interface Inc.
Registry dates
- Enumerated
- 2005-07-29
- Last updated
- 2022-07-21
Frequently asked questions
- What is San Juan Regional Rehabilitation Hospital, Inc.'s NPI number?
- San Juan Regional Rehabilitation Hospital, Inc.'s National Provider Identifier (NPI) is 1679573778, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Juan Regional Rehabilitation Hospital, Inc.?
- San Juan Regional Rehabilitation Hospital, Inc. is classified in the NPPES registry as Rehabilitation Hospital (Hospitals).
- Where is San Juan Regional Rehabilitation Hospital, Inc. located?
- San Juan Regional Rehabilitation Hospital, Inc.'s practice location on file with NPPES is 525 S. Schwartz, Farmington, NM 87401-5955.
- What is San Juan Regional Rehabilitation Hospital, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for San Juan Regional Rehabilitation Hospital, Inc. is (505) 609-2625.
- Who is the authorized official for San Juan Regional Rehabilitation Hospital, Inc.?
- The authorized official listed on San Juan Regional Rehabilitation Hospital, Inc.'s NPPES record is Ricky Wallace, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Juan Regional Rehabilitation Hospital, Inc.'s NPI active?
- Yes — San Juan Regional Rehabilitation Hospital, Inc.'s NPI (1679573778) is active in the NPPES registry as of the last update on 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.