SAN JUAN REGIONAL MEDICAL CENTER INC
NPI 1902463508
Internal Medicine - Cardiovascular Disease in Durango, CO

NPI Status: Active since May 20, 2019

Contact Information

1970 E 3RD AVE STE 1
DURANGO, CO
ZIP 81301
Phone: (970) 444-0260
Fax: (970) 444-0264

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease
  • CLIA Number: 06D2129110
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-30-2027

About SAN JUAN REGIONAL MEDICAL CENTER INC

This page provides the complete NPI Profile along with additional information for San Juan Regional Medical Center Inc, an internist established in Durango, Colorado operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1902463508 assigned on May 2019. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated one year ago. San Juan Regional Medical Center Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Kim R Hipsher-byrd (Administrative Director Of Reimburs)

NPI
1902463508
Provider Legal Name
SAN JUAN REGIONAL MEDICAL CENTER INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1970 E 3RD AVE STE 1 DURANGO, CO 81301
Location Phone
(970) 444-0260
Location Fax
(970) 444-0264
Mailing Address
PO BOX 844088 DALLAS, TX 75284
Mailing Phone
(505) 609-2258
Mailing Fax
(970) 444-0264
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2019
Last Update Date
07-02-2025
Code Navigator

An internist like San Juan Regional Medical Center Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

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

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2207T00000XAllopathic & Osteopathic Physicians

Neurological Surgery

 
3208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 
4208800000XAllopathic & Osteopathic Physicians

Urology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

KIM R HIPSHER-BYRD

Authorized Official Title
ADMINISTRATIVE DIRECTOR OF REIMBURS
Authorized Official Phone
(505) 609-2258

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
06D2129110
Facility Type
Physician Office
Certificate Effective Date
July 31, 2025
Certificate Expiration Date
July 30, 2027
Laboratory Director
DR. JOSEPH R. CIOTTI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to San Juan Regional Medical Center Inc 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 1902463508, 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 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
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
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 0 → 0 4 → 8 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 0 + 2 + 8 + 6 + 6 + 5 + 0 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1902463508.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Family Medicine
1970 E 3RD AVE STE 1
DURANGO, CO 81301
Nurse Practitioner (Family)
1970 E 3RD AVE STE 1
DURANGO, CO 81301
Family Medicine
1970 E 3RD AVE STE 1
DURANGO, CO 81301
Social Worker (Clinical)
1970 E 3RD AVE STE 1
DURANGO, CO 81301
Clinic/Center (Mental Health (Including Community Mental Health Center))
1970 E 3RD AVE STE 1
DURANGO, CO 81301
Nurse Practitioner (Family)
1970 E 3RD AVE STE 1
DURANGO, CO 81301
Social Worker (Clinical)
1970 E 3RD AVE STE 1
DURANGO, CO 81301
Nurse Practitioner (Family)
1970 E 3RD AVE STE 1
DURANGO, CO 81301
Dietitian, Registered
1970 E 3RD AVE STE 1
DURANGO, CO 81301
Social Worker (Clinical)
1970 E 3RD AVE STE 1
DURANGO, CO 81301
Nurse Practitioner (Family)
1970 E 3RD AVE STE 1
DURANGO, CO 81301
Family Medicine
1970 E 3RD AVE STE 1
DURANGO, CO 81301
Family Medicine
1970 E 3RD AVE STE 1
DURANGO, CO 81301
Physician Assistant
1970 E 3RD AVE STE 1
DURANGO, CO 81301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902463508, enumerated as an "organization" on May 20, 2019.

The provider is located at 1970 E 3RD AVE STE 1 DURANGO, CO 81301 and the phone number is (970) 444-0260.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.