San Miguel Hospital Corporation

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

SAN MIGUEL HOSPITAL CORPORATION

Doing business as

Alta Vista Regional Hospital

Practice address

104 Legion Dr
Las Vegas, NM 87701-4808

Phone

(505) 426-3500

NPI assigned

Apr 29, 2008

Last updated

Apr 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debbie Brewer

Title

Director

Phone

(877) 892-9813

Specialties & licenses 2

Addresses

Other names 1

• Alta Vista Regional Hospital Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1609041706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LEGION DR",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014808",
            "telephone_number": "505-426-3500"
        },
        {
            "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": "877014808",
            "telephone_number": "505-426-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MIGUEL HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-892-9813"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alta Vista Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• San Miguel Emergency Group LLC
• San Miguel Hospital Corporation (Alta Vista Regional Hospital)
• San Miguel Hospital Corporation (Alta Vista Regional Hospital)
• San Miguel Hospital Corporation (Alta Vista Regional Hospital)
• San Miguel Hospital Corporation (Alta Vista Regional Hospital)
• San Miguel Physician Services LLC
• Sanchez Dental LLC
• Alicia Sanchez, LMHC
• Frank Leonardo Sanchez, DDS
• Janelle Jennifer Sanchez

• Certified Registered Nurse Anesthetist in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Certified Registered Nurse Anesthetist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.