OrganizationActive
San Miguel Hospital Corporation
NPI 1396716643 · General Acute Care Hospital · Las Vegas, NM
Provider details
- NPI number
- 1396716643
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Authorized official
- Randy Cooper, Svp Finance Op/Authorized Official
- License
- 3005 (NM)
Practice location
104 Legion Dr
Las Vegas, NM 87701-4804
Phone: (505) 426-3500
Fax: (505) 454-9502
Mailing address
104 Legion Dr
Las Vegas, NM 87701-4804
Registry dates
- Enumerated
- 2006-01-26
- Last updated
- 2020-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.