Organization
SAN MIGUEL HOSPITAL CORPORATION
Active
Other names
Las Vegas Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA J FEY (SR. DIRECTOR PHYSICIAN REV CYCLE)
(615) 221-3641
Entity
Organization
Contact information
Practice address
108 LEGION DR STE A, LAS VEGAS, NM 87701-4898
(505) 425-2662
(505) 425-6410
Mailing address
PO BOX 18428, BELFAST, ME 04915-4079
(505) 425-2662
(505) 425-6410
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
07/07/2023
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