NPI 1679573778

San Juan Regional Rehabilitation Hospital, INC.

Organisation Rehabilitation Hospital Farmington, NM

Practice location

Address: 525 S. Schwartz, Farmington, NM 87401-5955
Phone: (505) 609-2625
Fax: (505) 327-6562

Authorised official

Name: Ricky D. Wallace
Title: Executive Director
Phone: (505) 609-6110

Registered specialties (2)

Rehabilitation Hospital Primary

Hospitals Taxonomy 283X00000X

Other Rehabilitation Hospital providers in New Mexico →

Rehabilitation Hospital

Hospitals Taxonomy 283X00000X Licence 6578 (NM)

Registry record

NPI: 1679573778
Entity type: Organization
NPI issued: 29 Jul 2005
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.