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SAN JUAN REGIONAL MEDICAL CENTER INC
NPI 1003296534
Urology in Farmington, NM

Active since May 29, 2015CLIA 32D0536130 · Accreditation
2700 FARMINGTON AVE, BUILDING E, SUITE 1, FARMINGTON, NM 87401(505) 609-6300(505) 609-6301 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Juan Regional Medical Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN JUAN REGIONAL MEDICAL CENTER INC (NPI 1003296534), doing business as San Juan Regional Urology, is a healthcare organization registered as an urology in Farmington, New Mexico and active in the NPI registry since May 2015. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Kim Byrd, Administrative Director Of Reimburs, as its authorized official.

NPPES Registry Identity

NPI1003296534
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameSAN JUAN REGIONAL MEDICAL CENTER INC
Location Address2700 FARMINGTON AVE, BUILDING E, SUITE 1Farmington, NM 87401-4559
Mailing AddressPo Box 844088Dallas, TX 75284-4088 · (505) 609-2258 · Fax (505) 609-2259
Phone(505) 609-6300
Fax(505) 609-6301
Organization SubpartNo
Authorized OfficialKim ByrdAdministrative Director Of Reimburs · (505) 609-2258
Enumeration DateMay 29, 2015
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1003296534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2700 FARMINGTON AVE, Farmington, NM 87401
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Other Names 1

Doing Business AsSan Juan Regional Urology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 32D0536130

San Juan Regional Medical Center · Farmington, NM
Active · expires Feb 27, 2027
CLIA Number32D0536130
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Scott P. Otteson
Laboratory Phone(505) 609-6385
Laboratory LocationSan Juan Regional Medical Center801 W Maple St Attn Laboratory, Farmington, NM 87401
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROGER G. RUNG P.T.
Physical Therapist
2700 FARMINGTON AVE
FARMINGTON, NM 87401
San Juan County (505) 326-0761
MS. CAROLYN PARR HAWK M.A.
Counselor (Mental Health)
2700 FARMINGTON AVE, BUILDING F, SUITE 1
FARMINGTON, NM 87401
San Juan County (505) 326-7878
FREDERICK MOSLEY M.D.
Exclusive Provider Organization
2700 FARMINGTON AVE, BLDG. F
FARMINGTON, NM 87401
San Juan County (505) 325-1100
CLARISSA BURGESS
Dentist
2700 FARMINGTON AVE, STE C
FARMINGTON, NM 87401
San Juan County (505) 325-9133
LLOYD BRENT JACKSON DMD PALLC
Dentist (General Practice)
2700 FARMINGTON AVE, SUITE C-1
FARMINTON, NM 87401
San Juan County (505) 327-0044
MRS. KATHY RICHELLE BALES M.A.
Counselor (Professional)
2700 FARMINGTON AVE, BLDG., F STE. 1
FARMINGTON, NM 87401
San Juan County (505) 326-7878
SELECT PHYSICAL THERAPY HOLDINGS INC
Clinic/Center (Rehabilitation)
2700 FARMINGTON AVE, STE C
FARMINGTON, NM 87401
San Juan County (505) 326-0761
FOUR CORNERS HEART AND LUNG INSTITUTE PC
Clinic/Center (Medical Specialty)
2700 FARMINGTON AVE, BUILDING I SUITE 2
FARMINGTON, NM 87401
San Juan County (505) 326-3691

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Juan Regional Medical Center Inc's NPI number?

The NPI number for San Juan Regional Medical Center Inc is 1003296534. It was assigned to this organization in the NPPES registry on May 29, 2015. The provider is doing business as San Juan Regional Urology.

Where is San Juan Regional Medical Center Inc located?

San Juan Regional Medical Center Inc is located at 2700 Farmington Ave Building E, Suite 1, Farmington, NM 87401. The listed phone number is (505) 609-6300.

What is San Juan Regional Medical Center Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does San Juan Regional Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 32D0536130) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does San Juan Regional Medical Center Inc accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list San Juan Regional Medical Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for San Juan Regional Medical Center Inc was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.