San Juan Center For Independence

LBN: San Juan Center For Independence
San Juan Center For Independence is an health care organization with primary practice located at 1204 San Juan Blvd , Farmington NM 87401-2724. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. San Juan Center For Independence can be contacted via phone (505) 566-5827, or through Carver, Timothy Dean via phone (505) 566-5827.

Contact Information

Primary practice address
1204 San Juan Blvd Farmington NM 87401-2724
Phone: (505) 566-5827
Fax: (505) 566-5842
Website:
Map and Directions
Authorized official contact:
Name: Carver, Timothy Dean
Phone: (505) 566-5827

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X New Mexico

Profile Details

NPI number 1568577914
LBN Legal business name San Juan Center For Independence
DBA Doing business as
Authorized official Carver, Timothy Dean
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2006
Last updated Oct 26th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568577914 NPPES
New Mexico MEDICAID Z9242

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