NPIMap

Organization Active NPI

San Miguel Hospital Corporation

  • Medicare Defined Swing Bed Hospital Unit
  • Las Vegas, NM
National Provider Identifier
1598537862
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
SAN MIGUEL HOSPITAL CORPORATION
Practice address
104 Legion Dr
Las Vegas, NM 87701-4804
Phone
(505) 426-3500
NPI assigned
Oct 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Laura J Fey
Title
VP Physician Practices
Phone
(615) 221-3641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

104 Legion Dr
Las Vegas, NM 87701-4804

Mailing address

1573 Mallory LN Ste 100
Brentwood, TN 37027-2895
Phone (615) 221-3722

Other names 1

  • ALTA VISTA REGIONAL HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231025001625 NM Part A Provider - Hospital 8921097502 1 other NPI on this enrollment
Practice locations: Las Vegas, NM

Hospital certification: CCN 32Z312

Legal name
SAN MIGUEL HOSPITAL CORPORATION
Organization structure
CorporationProprietary
Enrollment address
104 Legion Dr
Las Vegas, NM 87701-4804
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

104 Legion Dr
Ste 100
Las Vegas, NM 87701
Phone (505) 426-3500

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Davidson Kempner Distressed Opportunities International Cayman Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 11.6%
Henry Kunath Individual Corporate OfficerSr Vice President/Treasurer/Cfo Sep 6, 2023
Corporate DirectorSr Vice President/Treasurer/Cfo Sep 6, 2023
DK Distressed Opportunities Int LTD Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 13.2%
DK Ldoi IV Aggregate Holdco LP Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 11.8%
Davidson Kempner Long-Term Distressed Opportunities Fund IV L Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 6.1%
Quorum Health Corporation Organization, Brentwood, TN Corporation 5% Or Greater Direct Ownership Interest Apr 29, 2016 100%
DK Quincy Investor BT I LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest Jul 7, 2020 7.9%
Davidson Kempner Long-Term Distressed Opps Intl IV Aiv LP Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 11.8%
Goldentree Distressed Onshore Master Fund III LP Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 6.8%
DK Quincy Investor BT II LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest Jul 7, 2020 7.9%
Laura Fey Individual Corporate DirectorVP of Revenue Cycle Aug 27, 2018
W-2 Managing EmployeeVP of Revenue Cycle Aug 27, 2018
Goldentree Select Offshore Intermediate Fund LP Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 5.44%
Goldentree Distressed Master Fund III LTD Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 11%
Quincy Health LLC Organization, New York, NY Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jul 7, 2020 100%
Steven W Frantz Individual Corporate OfficerVice President Aug 10, 2022
Corporate DirectorVice President Aug 10, 2022
Julie Manas Individual Corporate OfficerPresident Aug 10, 2022
Corporate DirectorPresident Aug 10, 2022
Davidson Kempner Distressed Opportunities Fund LP Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 7.8%
Donald Esposito Individual Corporate OfficerSr Vice President/Secretary Sep 16, 2021
Corporate DirectorSr Vice President/Secretary Sep 16, 2021

Facilities with the same owner 36

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Deming Hospital Corporation
    • Rural Health Clinic/Center
    • Deming, NM
    • NPI 1134526221

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Deming Hospital Corporation
    • Medicare Defined Swing Bed Hospital Unit
    • Deming, NM
    • NPI 1710196571

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Deming Hospital Corporation
    • Critical Access Hospital
    • Deming, NM
    • NPI 1891075446

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Big Bend Hospital Corporation
    • Rural Health Clinic/Center
    • Alpine, TX
    • NPI 1275988669

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Big Bend Hospital Corporation
    • Critical Access Hospital
    • Alpine, TX
    • NPI 1356312243

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Big Bend Hospital Corporation
    • Medicare Defined Swing Bed Hospital Unit
    • Alpine, TX
    • NPI 1689773756

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Big Spring Texas Hospital Company LLC
    • General Acute Care Hospital
    • Big Spring, TX
    • NPI 1336976034

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Big Spring Texas Hospital Company LLC
    • Psychiatric Hospital Unit
    • Big Spring, TX
    • NPI 1770310476

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • CHHP Holdings II, LLC
    • General Acute Care Hospital
    • Huntington Park, CA
    • NPI 1891059127

    Davidson Kempner Long-Term Distressed Opportunities Fund IV L, Davidson Kempner Long-Term Distressed Opps Intl IV Aiv LP, DK Ldoi IV Aggregate Holdco LP

    CMS ownership
  • CPH Hospital Management LLC
    • General Acute Care Hospital
    • Norwalk, CA
    • NPI 1194016923

    Davidson Kempner Long-Term Distressed Opportunities Fund IV L, Davidson Kempner Long-Term Distressed Opps Intl IV Aiv LP, DK Ldoi IV Aggregate Holdco LP

    CMS ownership
  • Eladh, LP
    • Skilled Nursing Facility
    • Los Angeles, CA
    • NPI 1720298326

    Davidson Kempner Long-Term Distressed Opportunities Fund IV L, Davidson Kempner Long-Term Distressed Opps Intl IV Aiv LP, DK Ldoi IV Aggregate Holdco LP

    CMS ownership
  • Evanston Hospital Corporation
    • Rural Health Clinic/Center
    • Lyman, WY
    • NPI 1134666944

    Davidson Kempner Distressed Opportunities Fund LP, Davidson Kempner Distressed Opportunities International Cayman, Davidson Kempner Long-Term Distressed Opportunities Fund IV L, Davidson Kempner Long-Term Distressed Opps Intl IV Aiv LP, DK Distressed

    CMS ownership
View all 36

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1598537862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 MALLORY LN STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272895",
            "telephone_number": "615-221-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LEGION DR",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014804",
            "telephone_number": "505-426-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MIGUEL HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "FEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP PHYSICIAN PRACTICES",
        "authorized_official_telephone_number": "615-221-3641",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALTA VISTA REGIONAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NM

Sources for this page

Verify at the official NPI Registry.