Interface Inc.

LBN: San Juan Regional Rehabilitation Hospital, Inc.
Interface Inc. is an health care organization with primary practice located at 525 S. Schwartz , Farmington NM 87401-5955. The organization recently has only one registered license in Hospitals / Rehabilitation Hospital, which is considered as the primary health care specialty. San Juan Regional Rehabilitation Hospital, Inc. can be contacted via phone (505) 609-2625, or through Wallace, Ricky D. via phone (505) 609-6110.

Contact Information

Primary practice address
525 S. Schwartz Farmington NM 87401-5955
Phone: (505) 609-2625
Fax: (505) 327-6562
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Ricky D. FACHE
Phone: (505) 609-6110

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Rehabilitation Hospital 283X00000X 6578 New Mexico
Hospitals / Rehabilitation Hospital 283X00000X New Mexico

Profile Details

NPI number 1679573778
LBN Legal business name San Juan Regional Rehabilitation Hospital, Inc.
DBA Doing business as Interface Inc.
Authorized official Wallace, Ricky D. FACHE
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 29th, 2005
Last updated Jul 21st, 2022 - about 2 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 1679573778 NPPES
New Mexico MEDICAID B2236

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