SAN MIGUEL HOSPITAL CORPORATION
NPI 1114639234
General Acute Care Hospital - Critical Access in Las Vegas, NM

NPI Status: Active since December 20, 2022

Contact Information

104 LEGION DR
LAS VEGAS, NM
ZIP 87701
Phone: (505) 426-3500
Fax: (505) 454-9502

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  • Organization
  • General Acute Care Hospital
  • Critical Access
  • Accepts Insurance
  • CLIA Number: 32D1084754
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-02-2026

About SAN MIGUEL HOSPITAL CORPORATION

This page provides the complete NPI Profile along with additional information for San Miguel Hospital Corporation, a provider established in Las Vegas, New Mexico operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1114639234 assigned on December 2022. The practitioner's primary taxonomy code is 282NC0060X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Lori Wooten (Vp Ops Performance Excellence)

NPI
1114639234
Provider Name
SAN MIGUEL HOSPITAL CORPORATION
Entity Type
Organization
Location Address
104 LEGION DR LAS VEGAS, NM 87701
Location Phone
(505) 426-3500
Location Fax
(505) 454-9502
Mailing Address
104 LEGION DR LAS VEGAS, NM 87701
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2022
Last Update Date
12-20-2022
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital Critical Access

Taxonomy Code
282NC0060X
Type
Hospitals

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Standard Expanded Bronze + Vision + Adult Dental - PPO
  • Standard Gold - PPO
  • Standard Gold + Vision + Adult Dental - PPO
  • Standard Silver - PPO
  • Standard Silver + Vision + Adult Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LORI WOOTEN

Authorized Official Title
VP OPS PERFORMANCE EXCELLENCE
Authorized Official Phone
(615) 221-3862

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
32D1084754
Facility Type
Physician Office
Certificate Effective Date
June 03, 2024
Certificate Expiration Date
June 02, 2026
Laboratory Director
DR. RAYMOND ORTIZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to San Miguel Hospital Corporation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SAN MIGUEL HOSPITAL CORPORATION

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114639234, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 6 → 12 → 3 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 1 + 2 + 3 + 1 + 8 + 2 + 6 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1114639234.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
104 LEGION DR
LAS VEGAS, NM 87701
Emergency Medicine
104 LEGION DR
LAS VEGAS, NM 87701
Pharmacist
104 LEGION DR
LAS VEGAS, NM 87701
Specialist
104 LEGION DR
LAS VEGAS, NM 87701
Emergency Medicine
104 LEGION DR
LAS VEGAS, NM 87701
Nurse Anesthetist, Certified Registered
104 LEGION DR
LAS VEGAS, NM 87701
Hospitalist
104 LEGION DR
LAS VEGAS, NM 87701
Physical Therapist
104 LEGION DR
LAS VEGAS, NM 87701
Emergency Medicine
104 LEGION DR
LAS VEGAS, NM 87701
Radiologic Technologist (Vascular Sonography)
104 LEGION DR
LAS VEGAS, NM 87701
Emergency Medicine
104 LEGION DR
LAS VEGAS, NM 87701
General Acute Care Hospital
104 LEGION DR
LAS VEGAS, NM 87701
Medicare Defined Swing Bed Unit
104 LEGION DR
LAS VEGAS, NM 87701
Anesthesiology
104 LEGION DR
LAS VEGAS, NM 87701
Nurse Practitioner (Family)
104 LEGION DR
LAS VEGAS, NM 87701
Occupational Therapist
104 LEGION DR
LAS VEGAS, NM 87701
Medicare Defined Swing Bed Unit
104 LEGION DR
LAS VEGAS, NM 87701
Nurse Practitioner (Acute Care)
104 LEGION DR
LAS VEGAS, NM 87701
Ambulance (Land Transport)
104 LEGION DR
LAS VEGAS, NM 87701
Nurse Anesthetist, Certified Registered
104 LEGION DR
LAS VEGAS, NM 87701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114639234, enumerated as an "organization" on December 20, 2022.

The provider is located at 104 LEGION DR LAS VEGAS, NM 87701 and the phone number is (505) 426-3500.

General Acute Care Hospital with taxonomy code 282NC0060X and a focus in Critical Access.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.