SAN JUAN REGIONAL MEDICAL CENTER INC
NPI 1639662901
Internal Medicine - Gastroenterology in Farmington, NM
NPI Status: Active since June 12, 2018
Contact Information
630 W MAPLE ST
FARMINGTON, NM
ZIP 87401
Phone: (505) 609-6349
Fax: (505) 599-4679
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Internal Medicine
- Gastroenterology
About SAN JUAN REGIONAL MEDICAL CENTER INC
This page provides the complete NPI Profile along with additional information for San Juan Regional Medical Center Inc, an internist established in Farmington, New Mexico operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1639662901 assigned on June 2018. The practitioner's primary taxonomy code is 207RG0100X. The provider is registered as an organization and their NPI record was last updated July 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's
- NPI
- 1639662901
- Provider Legal Name
- SAN JUAN REGIONAL MEDICAL CENTER INC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 630 W MAPLE ST FARMINGTON, NM 87401
- Location Phone
- (505) 609-6349
- Location Fax
- (505) 599-4679
- Mailing Address
- PO BOX 844088 DALLAS, TX 75284
- Mailing Phone
- (505) 609-2258
- Mailing Fax
- (505) 599-4679
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-12-2018
- Last Update Date
- 07-16-2025
- Code Navigator
An internist like San Juan Regional Medical Center Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Gastroenterology
- Taxonomy Code
- 207RG0100X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 6 | 6 | 2 | 9 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 12 | 6 | 4 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 2 + 6 + 4 + 9 + 0 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1639662901 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1558571851 | DAMON KALCICH D.O. Individual | Surgery | 630 W MAPLE ST FARMINGTON, NM 87401 (505) 609-6300 |
| 1245485994 | DWAYNE L GIBBS MD PC Organization | Surgery | 630 W MAPLE ST SUITE A FARMINGTON, NM 87401 (505) 324-2098 |
| 1891150108 | ERICA LANKENAU PA Individual | Physician Assistant (Surgical) | 630 W MAPLE ST FARMINGTON, NM 87401 (505) 609-6300 |
| 1316073141 | DR. DWAYNE L GIBBS M.D. Individual | Surgery | 630 W MAPLE ST FARMINGTON, NM 87401 (505) 609-6300 |
| 1679042410 | THERESA RAE GENT PA-C Individual | Physician Assistant | 630 W MAPLE ST FARMINGTON, NM 87401 (505) 609-6300 |
| 1659476398 | MARY LOUISE BODEWES PAC Individual | Physician Assistant | 630 W MAPLE ST FARMINGTON, NM 87401 (505) 609-6349 |
| 1316021488 | JAMES F. MARTIN MD Individual | Internal Medicine (Gastroenterology) | 630 W MAPLE ST FARMINGTON, NM 87401 (505) 609-6349 |
| 1336534528 | JASON GLASS M.D. Individual | Internal Medicine (Gastroenterology) | 630 W MAPLE ST FARMINGTON, NM 87401 (505) 609-6349 |
| 1811244007 | JENNIFER WEISS PA-C Individual | Physician Assistant | 630 W MAPLE ST FARMINGTON, NM 87401 (505) 609-6349 |
| 1952902934 | KYLE ELLIS RUCKMAN PA-C Individual | Physician Assistant | 630 W MAPLE ST FARMINGTON, NM 87401 (505) 609-6349 |
| 1629752613 | BRIANA MAE WARD Individual | Physician Assistant | 630 W MAPLE ST FARMINGTON, NM 87401 (505) 609-6349 |
| 1255319877 | DR. PETER C WITT MD Individual | Internal Medicine (Gastroenterology) | 630 W MAPLE ST FARMINGTON, NM 87401 (505) 609-6349 |
| 1194468199 | LORI B GOLZAR CNP Individual | Nurse Practitioner (Family) | 630 W MAPLE ST FARMINGTON, NM 87401 (505) 609-6300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639662901, enumerated in the NPI registry as an "organization" on June 12, 2018
The provider is located at 630 W Maple St Farmington, Nm 87401 and the phone number is (505) 609-6349
This medical organization specializes in Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology
This NPI record was last updated on June 12, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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