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San Juan Regional Medical Center Inc

Organization Active NPI Orthopaedic Surgery Physician · Farmington, NM

NPI 1255285490 · NPPES record last updated Jun 10, 2026

Key facts

NPI
1255285490
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
Legal business name
SAN JUAN REGIONAL MEDICAL CENTER INC
Practice address
2300 E 30TH St BLDG D-101
Farmington, NM 87401-8991
Phone
(505) 208-6280
Fax
(505) 564-3202
NPI assigned
Feb 24, 2026
Organization subpart
No

Authorized official

Name
Kim R Hipsher-Byrd
Title
Administrative Director of Reimburs
Phone
(505) 609-2258

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2341959San Juan Health Partners
2300 E 30TH Street, BLDG D, Ste 101, Farmington, NM 87401		Certificate of waiverApr 9, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NM

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040218000865 NM Part B Supplier - Clinic/Group Practice 4587559505 Receives reassigned benefits from 396 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Farmington, NM; Bloomfield, NM; Aztec, NM

National Provider Directory

Tax ID family
San Juan Region Med Ctr Inc (13 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207X00000X Yes
Foot & Ankle Surgery Podiatrist
Group: 193200000X MULTI-SPECIALTY GROUP		 213ES0103X
Orthopedic Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 2251X0800X

Addresses

Primary practice location

2300 E 30TH St BLDG D-101
Farmington, NM 87401-8991

Mailing address

PO Box 844088
Dallas, TX 75284-4088
Phone (505) 609-2258

Other practice location 1

3180 N Butler Ave # 300
Farmington, NM 87401-2334
Phone (505) 226-7893

Other practice location 2

1800 E 30th St Ste A
Farmington, NM 87401-9003
Phone (505) 943-0022

Other names

  • San Juan Health Partners Foot and Ankle Doing business as
  • San Juan Health Partners Orthopedics Doing business as
  • San Juan Health Partners Orthopedics Physical Therapy Doing business as

Other providers in Farmington, NM

All providers in Farmington, NM · Orthopaedic Surgery Physician in New Mexico

Sources for this page

Verify at the official NPI Registry.