Organization
SAN MIGUEL HOSPITAL CORPORATION
Active
Other names
Alta Vista Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LORI WOOTEN (VP OPS PERFORMANCE EXCELLENCE)
(615) 221-3862
Entity
Organization
Contact information
Practice address
104 LEGION DR, LAS VEGAS, NM 87701-4804
(505) 426-3500
(505) 454-9502
Mailing address
104 LEGION DR, LAS VEGAS, NM 87701-4804
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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