Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

San Juan Regional Medical Center Inc

Organization Gastroenterology Physician · NPI 1639662901

San Juan Regional Medical Center Inc is a Gastroenterology Physician in Farmington, New Mexico. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

630 W Maple St
Farmington, NM 87401-6113
Phone: (505) 609-6349
Fax: (505) 599-4679
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1639662901
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSan Juan Regional Medical Center Inc
Authorized official Kim Hipsher-Byrd — Administrative Director Of Reimburs · (505) 609-2258
Other names Sjhp Gastroenterology; Sjhp Gastroenterology
NPI enumeratedJune 12, 2018
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing addressPo Box 844088, Dallas, TX 75284-4088

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