SAN MIGUEL HOSPITAL CORPORATION (NPI# 1609041706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609041706 |
| Entity Type | Organization |
| Organization Name | SAN MIGUEL HOSPITAL CORPORATION |
| Other Organization Name | ALTA VISTA REGIONAL HOSPITAL |
| Practice Address |
104 Legion Dr Las Vegas NM 87701-4808 |
| Practice Telephone | 5054263500 |
| Mailing Telephone | 5054263500 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | DEBBIE BREWER (DIRECTOR) |
| Authorized Official Telephone | 8778929813 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| 1487625257 | San Miguel Hospital Corporation | Medicare Defined Swing Bed Unit | 104 Legion Dr, Las Vegas, NM 87701-4804 | 2006-01-30 |
| 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 | 87701-4808 |
| 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 |
| 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 |
| 1861430480 | San Miguel Emergency Group LLC | Physician Assistant | 104 Legion Dr, Las Vegas, NM 87701-4804 | 2006-06-04 |
| 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 | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053837013 | Savignac Anesthesia, PC | Nurse Anesthetist, Certified Registered | 6268 Mighty Flotilla Ave, Las Vegas, NV 89139-6408 | 2017-08-21 |
| 1003019266 | Sheridan Drozdow Healthcare of Nevada PC | Nurse Anesthetist, Certified Registered | 6900 North Durango Drive, Las Vegas, NV 89149-4409 | 2007-06-06 |
| 1538286661 | Cmb Anesthesia Associates Inc | Nurse Anesthetist, Certified Registered | 1785 E Sahara Ave Ste 320, Las Vegas, NV 89104-3717 | 2007-03-23 |
| 1578639258 | Patricia A Laross | Nurse Anesthetist, Certified Registered | 1785 E Sahara Ave, Ste 320, Las Vegas, NV 89104-3733 | 2006-11-27 |
| 1487663845 | Walter G Grove | Nurse Anesthetist, Certified Registered | 7065 W Ann Road 130321, Las Vegas, NV 89130-1342 | 2006-08-05 |
| 1841204575 | Karen Z Murphy | Nurse Anesthetist, Certified Registered | 7150 Smoke Ranch Rd # 110, Las Vegas, NV 89128 | 2006-07-28 |
| 1518993260 | Carol Lynn Tanko | Nurse Anesthetist, Certified Registered | 2615 Box Canyon Dr, Las Vegas, NV 89128-0450 | 2006-06-24 |
| 1558336792 | Norma Faith Sorelle | Nurse Anesthetist, Certified Registered | 3524 Moreno Ct, Las Vegas, NV 89129-6312 | 2006-02-21 |
| 1508839085 | Elizabeth J Magsanoc | Nurse Anesthetist, Certified Registered | 6950 S Cimarron Rd Ste 200, Las Vegas, NV 89113-2135 | 2006-02-07 |
| 1154392819 | Edward L Kopecky | Nurse Anesthetist, Certified Registered | 2450 W Charleston, Las Vegas, NV 89102 | 2006-01-31 |
| Find all providers in LAS VEGAS | ||||
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| 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.