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

Active since July 29, 2005
525 S. SCHWARTZ, FARMINGTON, NM 87401(505) 609-2625(505) 327-6562 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jun 20, 2018 (2 updates tracked since 2018).

About San Juan Regional Rehabilitation Hospital, Inc. NPPES

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

SAN JUAN REGIONAL REHABILITATION HOSPITAL, INC. (NPI 1679573778), doing business as Interface Inc., is a healthcare organization registered as a rehabilitation hospital in Farmington, New Mexico and active in the NPI registry since July 2005. The organization lists Ricky D. Wallace, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1679573778
Entity TypeOrganization
Primary Taxonomy283X00000X
Legal Business NameSAN JUAN REGIONAL REHABILITATION HOSPITAL, INC.
Location Address525 S. SCHWARTZFarmington, NM 87401-5955
Mailing Address525 S. SchwartzFarmington, NM 87401-5955 · (505) 609-2625 · Fax (505) 327-6562
Phone(505) 609-2625
Fax(505) 327-6562
Organization SubpartYesParent: San Juan Regional Medical Center
Authorized OfficialRicky D. WallaceExecutive Director · (505) 609-6110
Enumeration DateJuly 29, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1679573778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation HospitalHospitals
Taxonomy Code283X00000X
License✔ Licensed in NM · 6578
Definition

A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.

525 S. SCHWARTZ, Farmington, NM 87401
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Other Names 1

Former Legal Business NameInterface Inc.

Other Identifiers 1

MedicaidB2236NM

Frequently Asked Questions

What is SAN JUAN REGIONAL REHABILITATION HOSPITAL, INC.'s NPI number?

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

Where is the provider located?

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

What is the provider's specialty?

Rehabilitation Hospital with taxonomy code 283X00000X.

What insurance does SAN JUAN REGIONAL REHABILITATION HOSPITAL, INC. accept?

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