Alta Vista Regional Hospital

LBN: San Miguel Hospital Corporation
Alta Vista Regional Hospital is an health care organization with primary practice located at 104 Legion Dr , Las Vegas NM 87701-4804. The organization recently has only one registered license in Hospital Units / Medicare Defined Swing Bed Unit, which is considered as the primary health care specialty. San Miguel Hospital Corporation can be contacted via phone (505) 426-3500, or through Cooper, Randy Michael via phone (615) 221-3840.

Contact Information

Primary practice address
104 Legion Dr Las Vegas NM 87701-4804
Fax: (505) 454-9502
Website:
Authorized official contact:
Name: Cooper, Randy Michael

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Medicare Defined Swing Bed Unit 275N00000X 3005 New Mexico

Profile Details

NPI number 1487625257
LBN Legal business name San Miguel Hospital Corporation
DBA Doing business as Alta Vista Regional Hospital
Authorized official Cooper, Randy Michael
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 30th, 2006
Last updated Aug 11th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487625257 NPPES
New Mexico MEDICAID M2389

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