NPIMap

Organization Active NPI

San Juan Regional Medical Center Inc

Doing business as SJHP Family Medicine Farmington

  • Family Medicine Physician
  • Farmington, NM
National Provider Identifier
1710589015
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SAN JUAN REGIONAL MEDICAL CENTER INC
Doing business as
SJHP Family Medicine Farmington
Practice address
656 W Maple St
Farmington, NM 87401-5968
Phone
(505) 609-2990
Fax
(505) 609-2996
NPI assigned
Nov 11, 2020
Last updated
Jul 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

656 W Maple St
Farmington, NM 87401-5968

Mailing address

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

Other names 1

  • SJHP Family Medicine Farmington Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sjrmc.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 18

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

View all 18

National Provider Directory

National Provider Directory
Tax ID family
San Juan Hospital13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

480 Wolverine Dr
Ste 12
Bayfield, CO 81122
Phone (970) 444-0260

1930 San Juan Blvd
Ste K
Farmington, NM 87401
Phone (505) 326-7679

2700 Farmington Ave
Ste F2
Farmington, NM 87401
Phone (505) 326-5359

301 S Auburn Ave
Farmington, NM 87401
Phone (505) 564-8563

555 S Schwartz Ave
#Four
Farmington, NM 87401
Phone (505) 564-8073

610 W Pinon St
#610
Farmington, NM 87401
Phone (505) 325-1123

634 W Pinon St
#634
Farmington, NM 87401
Phone (505) 325-4898

731 W Animas St
Farmington, NM 87401
Phone (505) 609-6075

801 W Maple St
Farmington, NM 87401
Phone (505) 325-5011

940 W Pinon St
Farmington, NM 87401
Phone (505) 326-5552

Practitioners & affiliated clinicians

Practitioners 376

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.

View all 376

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1710589015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844088",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844088",
            "telephone_number": "505-609-2258",
            "fax_number": "505-609-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 W MAPLE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015968",
            "telephone_number": "505-609-2990",
            "fax_number": "505-609-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN REGIONAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "HIPSHER-BYRD",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR OF REIMBURS",
        "authorized_official_telephone_number": "505-609-2258"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sjrmc.net",
            "affiliation": "N",
            "endpointDescription": "clinic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "656 W Maple St",
            "city": "Farmington",
            "state": "NM",
            "country_code": "US",
            "postal_code": "874015968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SJHP Family Medicine Farmington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.