SAN JUAN HEALTH SERVICES, LLC
NPI 1487946679
Clinic/Center - Health Service in Farmington, NM

NPI Status: Active since May 06, 2011

Contact Information

301 SOUTH LAKE
FARMINGTON, NM
ZIP 87401
Phone: (505) 564-8200
Fax: (505) 599-1838

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 32D2341952
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 04-09-2028

About SAN JUAN HEALTH SERVICES, LLC

This page provides the complete NPI Profile along with additional information for San Juan Health Services, Llc, 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 1487946679 assigned on May 2011. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 9 years ago. San Juan Health Services, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Virginia A Wells Rn (Director)

NPI
1487946679
Provider Name
SAN JUAN HEALTH SERVICES, LLC
Entity Type
Organization
Location Address
301 SOUTH LAKE FARMINGTON, NM 87401
Location Phone
(505) 564-8200
Location Fax
(505) 599-1838
Mailing Address
950 WEST PINON FARMINGTON, NM 87401
Mailing Phone
(505) 564-8200
Mailing Fax
(505) 599-1838
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-06-2011
Last Update Date
06-19-2017
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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

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

 
2246QH0600XTechnologists, Technicians & Other Technical Service Providers

Specialist/Technologist, Pathology
Histology

 

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.

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

VIRGINIA A WELLS RN

Authorized Official Title
DIRECTOR
Authorized Official Phone
(505) 564-8200

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
32D2341952
Facility Type
Practitioner Other
Certificate Effective Date
April 10, 2026
Certificate Expiration Date
April 09, 2028
Laboratory Director
LAWRENCE WARD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to San Juan Health Services, Llc 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 1487946679, 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
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 8 → 16 → 7 9 → 18 → 9 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 6 + 7 + 1 + 8 + 4 + 1 + 2 + 6 + 1 + 4 + 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 1487946679.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487946679, enumerated as an "organization" on May 06, 2011.

The provider is located at 301 SOUTH LAKE FARMINGTON, NM 87401 and the phone number is (505) 564-8200.

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