NPI 1487625257

San Miguel Hospital Corporation

Organisation Medicare Defined Swing Bed Hospital Unit Las Vegas, NM

Practice location

Address: 104 Legion Dr, Las Vegas, NM 87701-4804
Phone: (505) 426-3500
Fax: (505) 454-9502
Mailing address: PO Box 846331, Dallas, TX 75284-6331

Authorised official

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

Registered specialties

Medicare Defined Swing Bed Hospital Unit Primary

Hospital Units Taxonomy 275N00000X Licence 3005 (NM)

Other Medicare Defined Swing Bed Unit providers in New Mexico →

Registry record

NPI: 1487625257
Entity type: Organization
NPI issued: 30 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.