| San Juan Regional Medical Center Inc | |
|
100 N Church St Ste C Bloomfield NM 87413-5754 | |
| (505) 609-6675 | |
| (505) 609-6579 |
| Full Name | San Juan Regional Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 100 N Church St Ste C, Bloomfield, New Mexico |
| Authorized Official Name and Position | Karen S Miller (CFO) |
| Authorized Official Contact | 5056096114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Juan Regional Medical Center Inc Po Box 6210 Farmington NM 87499-6210 Ph: (505) 609-2258 | San Juan Regional Medical Center Inc 100 N Church St Ste C Bloomfield NM 87413-5754 Ph: (505) 609-6675 |
| NPI Number | 1508219916 |
|---|---|
| Provider Enumeration Date | 07/20/2016 |
| Last Update Date | 07/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508219916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |