San Miguel Emergency Group Llc

LBN: San Miguel Emergency Group Llc
San Miguel Emergency Group Llc is an health care organization with primary practice located at 104 Legion Dr , Las Vegas NM 87701-4804. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. San Miguel Emergency Group Llc can be contacted via phone (800) 893-9698, or through Schumacher, William via phone (800) 893-9698.

Contact Information

Primary practice address
104 Legion Dr Las Vegas NM 87701-4804
Phone: (800) 893-9698
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Schumacher, William Doctor of Medicine (MD)
Phone: (800) 893-9698

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1861430480
LBN Legal business name San Miguel Emergency Group Llc
DBA Doing business as
Authorized official Schumacher, William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated Oct 9th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861430480 NPPES
New Mexico MEDICAID 03188337

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