San Miguel Hospital Corporation

A Medicare group practice based in Las Vegas, NM: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 8921097502), with 30 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8921097502The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
NM
Enrollments
4
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20050421000171 NM Part B Supplier - Clinic/Group Practice 1851747216
O20230206001980 NM Part A Provider - Critical Access Hospital 1114639234
O20231025001625 NM Part A Provider - Hospital 1598537862
O20181220000073 NM Part A Provider - Rural Health Clinic 1184193450

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 30

Clinicians who reassign their Medicare benefits to this group (30) or whom Care Compare lists as members (2).

Sources for this page