San Miguel Hospital Corporation

NPI #1487625257 in Las Vegas, New Mexico

Provider Information

NPI Number
1487625257
Entity Type
Organization
Organization Name
San Miguel Hospital Corporation
Subpart
Yes (part of a larger organization)
Parent Organization
SAN MIGUEL HOSPITAL CORPORATION
Primary Specialty
Medicare Defined Swing Bed Unit
Enumeration Date
Jan 30, 2006
Last Updated
Aug 11, 2020

Practice Location

Address
104 LEGION DR
ZIP Code
87701-4804
Phone
(505) 426-3500

Authorized Official

Name
RANDY MICHAEL COOPER
Title
SVP FINANCE OP/AUTHORIZED OFFICIAL
Phone
(615) 221-3840

Specialties & Taxonomy Codes

Specialty
Medicare Defined Swing Bed Unit

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