NPIMap

Organization Active NPI

San Juan Health Services, LLC

  • Health Service Clinic/Center
  • Farmington, NM
National Provider Identifier
1487946679
Registry record updated Jun 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SAN JUAN HEALTH SERVICES, LLC
Practice address
301 South Lake
Farmington, NM 87401
Phone
(505) 564-8200
Fax
(505) 599-1838
NPI assigned
May 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2017

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

Authorized official

Name
Virginia A Wells, RN
Title
Director
Phone
(505) 564-8200

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Histology Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246QH0600X
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

301 South Lake
Farmington, NM 87401

Mailing address

950 West Pinon
Farmington, NM 87401
Phone (505) 564-8200

National Provider Directory

National Provider Directory

Locations

301 S Lake St
Farmington, NM 87401
Phone (505) 278-8575

304 S Lake St
Farmington, NM 87401
Phone (505) 324-8375

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497830400000",
    "number": "1487946679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 WEST PINON",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-564-8200",
            "fax_number": "505-599-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SOUTH LAKE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-564-8200",
            "fax_number": "505-599-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-06",
        "last_updated": "2017-06-19",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-564-8200",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246QH0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Pathology, Histology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Jun 19, 2017; 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.