NPI 1396716643

San Miguel Hospital Corporation

Organisation General Acute Care Hospital Las Vegas, NM

Practice location

Address: 104 Legion Dr, Las Vegas, NM 87701-4804
Phone: (505) 426-3500
Fax: (505) 454-9502

Authorised official

Name: Randy Michael Cooper
Title: Svp Finance Op/Authorized Official
Phone: (615) 221-3840

Registered specialties

General Acute Care Hospital Primary

Hospitals Taxonomy 282N00000X Licence 3005 (NM)

Other General Acute Care Hospital providers in New Mexico →

Registry record

NPI: 1396716643
Entity type: Organization
NPI issued: 26 Jan 2006
Record last updated: 11 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.