Organization
SAN MIGUEL HOSPITAL CORPORATION
Active
Other names
ALTA VISTA REGIONAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA J FEY (VP PHYSICIAN PRACTICES)
(615) 221-3641
Entity
Organization
Contact information
Practice address
104 LEGION DR, LAS VEGAS, NM 87701-4804
(505) 426-3500
Mailing address
1573 MALLORY LN STE 100, BRENTWOOD, TN 37027-2895
(615) 221-3722
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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