SAN JUAN COLLEGE
NPI 1427869569
Clinic/Center - Health Service in Farmington, NM

NPI Status: Active since January 17, 2025

Contact Information

4601 COLLEGE BLVD
FARMINGTON, NM
ZIP 87402
Phone: (505) 566-4255
Fax: (505) 566-3770

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 32D2136131
  • CLIA Cert. Type: Other - DENTAL CLINIC
  • CLIA Exp. Date: 09-04-2027

About SAN JUAN COLLEGE

This page provides the complete NPI Profile along with additional information for San Juan College, a provider established in Farmington, New Mexico operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1427869569 assigned on January 2025. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Charisse Buchanan Ag-np-c (Health Center Director)

NPI
1427869569
Provider Name
SAN JUAN COLLEGE
Entity Type
Organization
Location Address
4601 COLLEGE BLVD FARMINGTON, NM 87402
Location Phone
(505) 566-4255
Location Fax
(505) 566-3770
Mailing Address
4601 COLLEGE BLVD FARMINGTON, NM 87402
Mailing Phone
(505) 566-4255
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-17-2025
Last Update Date
01-17-2025
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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

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARISSE BUCHANAN AG-NP-C

Authorized Official Title
HEALTH CENTER DIRECTOR
Authorized Official Phone
(505) 566-3313

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
32D2136131
Facility Type
Other - DENTAL CLINIC
Certificate Effective Date
September 05, 2025
Certificate Expiration Date
September 04, 2027
Laboratory Director
DR. JULIUS N. MANZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to San Juan College to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1427869569, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
2
Doubled → 4
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 8 → 16 → 7 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 4 + 7 + 1 + 6 + 6 + 1 + 8 + 5 + 1 + 2 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1427869569.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Dentist (General Practice)
4601 COLLEGE BLVD
FARMINGTON, NM 87402
Clinic/Center (Dental)
4601 COLLEGE BLVD, DENTAL CLINIC
FARMINGTON, NM 87402
Physical Therapy Assistant
4601 COLLEGE BLVD
FARMINGTON, NM 87402
Community/Behavioral Health
4601 COLLEGE BLVD
FARMINGTON, NM 87402
Social Worker (Clinical)
4601 COLLEGE BLVD
FARMINGTON, NM 87402
Nurse Practitioner (Adult Health)
4601 COLLEGE BLVD
FARMINGTON, NM 87402

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427869569, enumerated as an "organization" on January 17, 2025.

The provider is located at 4601 COLLEGE BLVD FARMINGTON, NM 87402 and the phone number is (505) 566-4255.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.