San Miguel Clinic Corp
LBN: San Miguel Clinic Corp
San Miguel Clinic Corp is an health care organization with primary practice located at 108 Legion Dr Ste A , Las Vegas NM 87701-4898. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
San Miguel Clinic Corp can be contacted via phone (505) 454-9499, or through Fey, Laura J via phone (615) 221-3641.
Contact Information
Primary practice address
108 Legion Dr Ste A
Las Vegas NM 87701-4898
Phone: (505) 454-9499
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1114920717 |
|---|---|
| LBN Legal business name | San Miguel Clinic Corp |
| DBA Doing business as | |
| Authorized official | Fey, Laura J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Oct 17th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114920717 | NPPES |
| New Mexico | MEDICAID | 47485817 |
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