NPIMap

Organization Active NPI

San Juan College

  • Health Service Clinic/Center
  • Farmington, NM
National Provider Identifier
1427869569
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SAN JUAN COLLEGE
Practice address
4601 College Blvd
Farmington, NM 87402-4699
Phone
(505) 566-4255
Fax
(505) 566-3770
NPI assigned
Jan 17, 2025
Last updated
Jan 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charisse Buchanan, AG-NP-CNPI 1477077345
Title
Health Center Director
Phone
(505) 566-3313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

4601 College Blvd
Farmington, NM 87402-4699

Mailing address

4601 College Blvd
Farmington, NM 87402-4699
Phone (505) 566-4255

National Provider Directory

National Provider Directory
Tax ID family
San Juan College4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1427869569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 COLLEGE BLVD",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024699",
            "telephone_number": "505-566-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 COLLEGE BLVD",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024699",
            "telephone_number": "505-566-4255",
            "fax_number": "505-566-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "CHARISSE",
        "authorized_official_title_or_position": "HEALTH CENTER DIRECTOR",
        "authorized_official_telephone_number": "505-566-3313",
        "authorized_official_credential": "AG-NP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.