Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

San Juan Regional Rehabilitation Hospital, Inc.

Rehabilitation Hospital in Farmington, NM · enumerated 2005 · authorized official Ricky Wallace, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679573778

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name San Juan Regional Rehabilitation Hospital, Inc.

Other name <Unavail>

Parent organization San Juan Regional Medical Center

Practice address 525 S. Schwartz, Farmington, NM, 87401

Phone (505) 609-2625

Fax (505) 327-6562

Enumeration date Jul 29, 2005

Last updated in NPPES Jul 21, 2022

Taxonomy & classification

283X00000X Rehabilitation Hospital Hospitals · License 6578 (NM) Secondary

283X00000X Rehabilitation Hospital Hospitals Primary

Authorized official

Name Ricky Wallace

Title Executive Director

Phone (505) 609-6110

Other identifiers

Identifier	Type	State	Issuer
B2236	Medicaid	NM	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is San Juan Regional Rehabilitation Hospital, Inc.?

San Juan Regional Rehabilitation Hospital, Inc. is registered in NPPES as a Rehabilitation Hospital (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.