SAN MIGUEL HOSPITAL CORPORATION (NPI# 1184193450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184193450 |
| Entity Type | Organization |
| Organization Name | SAN MIGUEL HOSPITAL CORPORATION |
| Other Organization Name | LAS VEGAS MEDICAL GROUP |
| Practice Address |
2515 Ridge Runner Rd Las Vegas NM 87701-4972 |
| Mailing Address |
Po Box 18428 Belfast ME 04915-4079 |
| Practice Telephone | 5054252662 |
| Practice Fax Number | 5054256410 |
| Mailing Telephone | 5054252662 |
| Mailing Fax Number | 5054256410 |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | RANDY MICHAEL COOPER (SVP FINANCE OP/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6152213840 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Las Vegas Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
2515 RIDGE RUNNER RD |
| City | LAS VEGAS |
| State | NM |
| Zip Code | 87701-4972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497708754 | Raymond F. Ortiz | Family Medicine | 2515 Ridge Runner Rd, Las Vegas, NM 87701-4972 | 2006-05-18 |
| 1851747216 | San Miguel Hospital Corporation | General Practice | 2515 Ridge Runner Rd, Las Vegas, NM 87701-4972 | 2016-05-04 |
| 1790157980 | San Miguel Clinic Corp | Family Medicine | 2515 Ridge Runner Rd, Las Vegas, NM 87701-4972 | 2015-10-27 |
| 1306233846 | San Miguel Clinic Corp | Clinic/Center | 2515 Ridge Runner Rd, Las Vegas, NM 87701-4972 | 2015-04-22 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306233846 | San Miguel Clinic Corp | Clinic/Center | 2515 Ridge Runner Rd, Las Vegas, NM 87701-4972 | 2015-04-22 |
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|---|---|---|---|---|
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| 1225161474 | Roswell Hospital Corporation | Clinic/Center | 116 East 2nd Street, Dexter, NM 88230 | 2007-03-14 |
| 1578639662 | Roosevelt County Special Hospital District | Clinic/Center | 2000 W 21st St Ste R1, Clovis, NM 88101-4098 | 2006-11-28 |
| 1538144415 | Presbyterian Healthcare Services | Clinic/Center | 471 Main Street, Corona, NM 88318 | 2005-12-13 |
| 1700492600 | Glow Women's Health, LLC | Clinic/Center | 5419 N Lovington Hwy Ste 10, Hobbs, NM 88240-9135 | 2020-09-17 |
| 1942741061 | Sierra Vista Mobile Clinic | Clinic/Center | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2017-03-09 |
| 1346780434 | Miners Colfax Medical Center | Clinic/Center | 203 Hospital Dr, Raton, NM 87740-2012 | 2017-03-08 |
| 1578010070 | Canoncito Band of Navajos Health Center, Inc. | Clinic/Center | 129 Medicine Horse Drive, Tohajiilee, NM 87026 | 2016-09-01 |
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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.