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

Q: What is San Juan Regional Rehabilitation Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Rehabilitation Hospital with taxonomy code 283X00000X.

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: August 16, 2026.

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

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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 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 Rehabilitation Hospital, Inc.'s NPI number?

The NPI number for San Juan Regional Rehabilitation Hospital, Inc. is 1679573778. It was assigned to this organization in the NPPES registry on July 29, 2005. The provider was formerly known as Interface Inc..

Where is San Juan Regional Rehabilitation Hospital, Inc. located?

San Juan Regional Rehabilitation Hospital, Inc. is located at 525 S. Schwartz, Farmington, NM 87401. The listed phone number is (505) 609-2625.

What is San Juan Regional Rehabilitation Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Rehabilitation Hospital with taxonomy code 283X00000X.

When was this NPI record last updated?

The NPPES record for San Juan Regional Rehabilitation Hospital, Inc. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.