Sjrmc Aztec Clinic

LBN: San Juan Regional Medical Center Inc
Sjrmc Aztec Clinic is an health care organization with primary practice located at 120 Llano St , Aztec NM 87410. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Urology, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. San Juan Regional Medical Center Inc can be contacted via phone (505) 334-3404, or through Miller, Karen S via phone (505) 609-6114.

Contact Information

Primary practice address
120 Llano St Aztec NM 87410
Phone: (505) 334-3404
Fax: (505) 334-3486
Website:
Map and Directions
Authorized official contact:
Name: Miller, Karen S
Phone: (505) 609-6114

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Urology 208800000X
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X

Profile Details

NPI number 1861467433
LBN Legal business name San Juan Regional Medical Center Inc
DBA Doing business as Sjrmc Aztec Clinic
Authorized official Miller, Karen S
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2006
Last updated Jun 16th, 2018 - about 6 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 1861467433 NPPES
New Mexico MEDICAID 000B7708

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