SAN MIGUEL HOSPITAL CORPORATION (NPI# 1487625257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487625257 |
| Entity Type | Organization |
| Organization Name | SAN MIGUEL HOSPITAL CORPORATION |
| Other Organization Name | ALTA VISTA REGIONAL HOSPITAL |
| Practice Address |
104 Legion Dr Las Vegas NM 87701-4804 |
| Mailing Address |
Po Box 846331 Dallas TX 75284-6331 |
| Practice Telephone | 5054263500 |
| Practice Fax Number | 5054549502 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | RANDY MICHAEL COOPER (SVP FINANCE OP/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6152213840 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAN MIGUEL HOSPITAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 3005 | NM | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | M2389 | 05 |
| Other Name | Type Code |
|---|---|
| Alta Vista Regional Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184193450 | San Miguel Hospital Corporation | Clinic/Center | 2515 Ridge Runner Rd, Las Vegas, NM 87701-4972 | 2018-11-16 |
| 1851747216 | San Miguel Hospital Corporation | General Practice | 2515 Ridge Runner Rd, Las Vegas, NM 87701-4972 | 2016-05-04 |
| 1609041706 | San Miguel Hospital Corporation | Anesthesiology | 104 Legion Dr, Las Vegas, NM 87701-4808 | 2008-04-29 |
| 1396716643 | San Miguel Hospital Corporation | General Acute Care Hospital | 104 Legion Dr, Las Vegas, NM 87701-4804 | 2006-01-26 |
| Street Address |
104 LEGION DR |
| City | LAS VEGAS |
| State | NM |
| Zip Code | 87701-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336132786 | Marianne M. Luchini | Family Medicine | 104 Legion Dr, Las Vegas, NM 87701-4804 | 2005-08-31 |
| 1679112130 | Summit Emergency Medicine LLC | Emergency Medicine | 104 Legion Dr, Las Vegas, NM 87701-4804 | 2020-01-02 |
| 1689105520 | Julia Stevens | Radiologic Technologist | 104 Legion Dr, Las Vegas, NM 87701-4804 | 2017-03-22 |
| 1659765303 | Beachsalmon Emergency Physicians LLC | Emergency Medicine | 104 Legion Dr, Las Vegas, NM 87701-4804 | 2015-03-20 |
| 1568852861 | Deana Marie Benjamin | Physical Therapist | 104 Legion Dr, Las Vegas, NM 87701-4804 | 2015-01-26 |
| 1164756862 | San Miguel Physician Services LLC | Hospitalist | 104 Legion Dr, Las Vegas, NM 87701-4804 | 2009-09-28 |
| 1609041706 | San Miguel Hospital Corporation | Anesthesiology | 104 Legion Dr, Las Vegas, NM 87701-4808 | 2008-04-29 |
| 1881882439 | Gallinas Emergency Physicians | Emergency Medicine | 104 Legion Dr, Las Vegas, NM 87701-4804 | 2007-10-09 |
| 1174749964 | Advanced Anesthesia Care P.C. | Specialist | 104 Legion Dr, Las Vegas, NM 87701-4804 | 2007-04-18 |
| 1770607244 | Monica Renee Aragon | Pharmacist | 104 Legion Dr, Las Vegas, NM 87701-4804 | 2007-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851884423 | Nueva Vida Counseling and Consulting Services LLC | Community/Behavioral Health | Nueva Vida Counseling & Consulting Services LLC, 1920 7th Street, Las Vegas, NM 87701 | 2018-06-08 |
| 1316475403 | El Centro Family Health | Family Medicine | 475 Legion Dr., Las Vegas, NM 87701 | 2017-06-01 |
| 1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
| 1013369222 | Home Medical Equipment Specialists,llc | Durable Medical Equipment & Medical Supplies | 514 8th Street, Las Vegas, NM 87701 | 2016-07-12 |
| 1750730826 | John Michael Tourangeau | Social Worker | 1920 7th Street, Las Vegas, NM 87701 | 2016-06-08 |
| 1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
| 1023409521 | Ambercare Medical Supply | Durable Medical Equipment & Medical Supplies | 1747 N Grand Ave, Las Vegas, NM 87701 | 2015-02-05 |
| 1538561964 | El Centro Family Health | Clinic/Center | 947 Old National Road, Las Vegas, NM 87701 | 2014-09-17 |
| 1164832150 | Plaza Drugs | Pharmacist | 178 Bridge St, Las Vegas, NM 87701 | 2014-04-30 |
| 1043648165 | Open Doors Home Health Care | Home Health | 713 Railroad Ave., Las Vegas, NM 87701 | 2013-10-29 |
| Find all providers in zip 87701 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053397497 | Presbyterian Healthcare Services | Medicare Defined Swing Bed Unit | 2200 W 21st St, Clovis, NM 88101-2011 | 2005-12-19 |
| 1811594062 | Covenant Hospital Hobbs | Medicare Defined Swing Bed Unit | 5419 N Lovington Hwy, Hobbs, NM 88240-9100 | 2020-10-01 |
| 1144843491 | Presbyterian Healthcare Services | Medicare Defined Swing Bed Unit | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2020-05-21 |
| 1285253682 | Presbyterian Healthcare Services | Medicare Defined Swing Bed Unit | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2020-04-15 |
| 1891208799 | Lea Regional Hospital LLC | Medicare Defined Swing Bed Unit | 5419 N Lovington Hwy, Hobbs, NM 88240-9100 | 2017-11-14 |
| 1184137093 | Carlsbad Medical Center LLC | Medicare Defined Swing Bed Unit | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2017-11-14 |
| 1083931109 | Miners Colfax Medical Center | Medicare Defined Swing Bed Unit | 203 Hospital Dr, Raton, NM 87740-2012 | 2010-04-29 |
| 1285811208 | Gallup Indian Medical Center | Medicare Defined Swing Bed Unit | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2008-01-22 |
| 1710196571 | Deming Hospital Corporation | Medicare Defined Swing Bed Unit | 900 W Ash St, Deming, NM 88030-4000 | 2007-05-21 |
| 1598899874 | Nor-lea Hospital District | Medicare Defined Swing Bed Unit | 1600 North Main, Lovington, NM 88260-2813 | 2007-03-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SAN MIGUEL HOSPITAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.