SAN MIGUEL HOSPITAL CORPORATION
NPI 1114639234
General Acute Care Hospital - Critical Access in Las Vegas, NM
About San Miguel Hospital Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN MIGUEL HOSPITAL CORPORATION (NPI 1114639234), doing business as Alta Vista Regional Hospital, is a healthcare organization registered as a critical access in Las Vegas, New Mexico and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through June 2, 2028 and lists Lori Wooten, Vp Ops Performance Excellence, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Miguel Hospital Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
25Medicare enrollment records show 25 clinicians reassign Medicare billing to San Miguel Hospital Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 25Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 32D1084754
San Miguel Hospital Corp Dba Las Vegas Medical Group · Las Vegas, NMFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is San Miguel Hospital Corporation's NPI number?
The NPI number for San Miguel Hospital Corporation is 1114639234. It was assigned to this organization in the NPPES registry on December 20, 2022. The provider is doing business as Alta Vista Regional Hospital.
Where is San Miguel Hospital Corporation located?
San Miguel Hospital Corporation is located at 104 Legion Dr, Las Vegas, NM 87701. The listed phone number is (505) 426-3500.
What is San Miguel Hospital Corporation's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.
Is San Miguel Hospital Corporation enrolled in Medicare?
Yes. San Miguel Hospital Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through San Miguel Hospital Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 8 Medicare specialties reassign their Medicare billing to San Miguel Hospital Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (8), Nurse Practitioner (6) and Emergency Medicine (5). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does San Miguel Hospital Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 32D1084754) is associated with this NPI, valid through June 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for San Miguel Hospital Corporation was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# San Miguel Hospital Corporation · NPI 1114639234
Critical Access organization in Las Vegas, New Mexico. Organization record, active in the CMS NPPES registry since December 20, 2022.
## Identity
- **NPI:** 1114639234 (Entity type: Organization)
- **Enumerated:** December 20, 2022
- **Primary specialty:** General Acute Care Hospital - Critical Access · taxonomy 282NC0060X
- **Also known as:** Alta Vista Regional Hospital (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Lori Wooten, VP OPS PERFORMANCE EXCELLENCE
## Practice location
- **Address:** 104 LEGION DR, Las Vegas, NM 87701-4804
- **Phone:** (505) 426-3500 · **Fax:** (505) 454-9502
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 25 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (8), Nurse Practitioner (6), Emergency Medicine (5); 1 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1114639234/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 20, 2022
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1114639234) · Data from the CMS NPPES public registry.