SAN JUAN REGIONAL REHABILITATION HOSPITAL, INC.
NPI 1679573778
Rehabilitation Hospital in Farmington, NM

NPI Status: Active since July 29, 2005

Contact Information

525 S. SCHWARTZ
FARMINGTON, NM
ZIP 87401
Phone: (505) 609-2625
Fax: (505) 327-6562

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  • Organization
  • Rehabilitation Hospital

About SAN JUAN REGIONAL REHABILITATION HOSPITAL, INC.

This page provides the complete NPI Profile along with additional information for San Juan Regional Rehabilitation Hospital, Inc., a provider established in Farmington, New Mexico operating as a Rehabilitation Hospital. The healthcare provider is registered in the NPI registry with number 1679573778 assigned on July 2005. The practitioner's primary taxonomy code is 283X00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's former legal business name is Interface Inc.. The authorized official of this NPI record is Mr. Ricky D. Wallace Fache (Executive Director)

NPI
1679573778
Provider Legal Name
SAN JUAN REGIONAL REHABILITATION HOSPITAL, INC.
Other Organization Name
INTERFACE INC.
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
525 S. SCHWARTZ FARMINGTON, NM 87401
Location Phone
(505) 609-2625
Location Fax
(505) 327-6562
Mailing Address
525 S. SCHWARTZ FARMINGTON, NM 87401
Mailing Phone
(505) 609-2625
Mailing Fax
(505) 327-6562
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-29-2005
Last Update Date
07-21-2022
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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

Rehabilitation Hospital

Taxonomy Code
283X00000X
Type
Hospitals
License State
NM
Taxonomy Description
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.

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)
1283X00000XHospitals

Rehabilitation Hospital

6578 (NM)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. RICKY D. WALLACE FACHE

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(505) 609-6110

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
B2236MEDICAID (05)NM 

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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 1679573778, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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
6
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
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 7 → 14 → 5 5 → 10 → 1 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 4 + 9 + 1 + 0 + 7 + 6 + 7 + 1 + 4 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1679573778.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679573778, enumerated as an "organization" on July 29, 2005.

The provider is located at 525 S. SCHWARTZ FARMINGTON, NM 87401 and the phone number is (505) 609-2625.

Rehabilitation Hospital with taxonomy code 283X00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.