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ALTA VISTA REGIONAL HOSPITAL
NPI 1396716643
General Acute Care Hospital in Las Vegas, NM

Active since January 26, 2006CLIA 32D0672876 · Accreditation
104 LEGION DR, LAS VEGAS, NM 87701(505) 426-3500(505) 454-9502 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alta Vista Regional Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALTA VISTA REGIONAL HOSPITAL (NPI 1396716643) is a healthcare organization registered as a general acute care hospital in Las Vegas, New Mexico and active in the NPI registry since January 2006. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Randy Michael Cooper, Svp Finance Op/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1396716643
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameSAN MIGUEL HOSPITAL CORPORATION
Location Address104 LEGION DRLas Vegas, NM 87701-4804
Mailing Address104 Legion DrLas Vegas, NM 87701-4804 · (505) 426-3500 · Fax (505) 454-9502
Phone(505) 426-3500
Fax(505) 454-9502
Organization SubpartNo
Authorized OfficialRandy Michael CooperSvp Finance Op/authorized Official · (615) 221-3840
Enumeration DateJanuary 26, 2006
Last NPPES UpdateAugust 11, 2020
NPPES CertifiedAugust 11, 2020
✔ NPI 1396716643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in NM · 3005
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
104 LEGION DR, Las Vegas, NM 87701
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Other Names 1

Doing Business AsAlta Vista Regional Hospital

Other Identifiers 4

Other24644Php
OtherNM000068NM · Bcbs
Medicaid76546NM
Other24622Php Salud

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 Accreditation 32D0672876

Alta Vista Regional Hospital Laboratory · Las Vegas, NM
Active · expires Jan 2, 2027
CLIA Number32D0672876
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Sanjay Lahiri
Laboratory Phone(505) 426-3571
Laboratory LocationAlta Vista Regional Hospital Laboratory104 Legion Drive, Las Vegas, NM 87701
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KROSSROADS INTEGRATIVE HEALTH AND RECOVERY SOLUTIONS INC
Substance Abuse Rehabilitation Facility
104 LEGION DR
LAS VEGAS, NM 87701
San Miguel County (505) 570-2526
SAN MIGUEL HOSPITAL CORPORATION
General Acute Care Hospital (Critical Access)
104 LEGION DR
LAS VEGAS, NM 87701
San Miguel County (505) 426-3500
SAN MIGUEL PHYSICIAN SERVICES LLC
Hospitalist
104 LEGION DR
LAS VEGAS, NM 87701
San Miguel County (505) 426-3500
ADVANCED ANESTHESIA CARE P.C.
Specialist
104 LEGION DR
LAS VEGAS, NM 87701
San Miguel County (505) 426-3716
ALLAN TILDEN HERMAN MD
Emergency Medicine
104 LEGION DR
LAS VEGAS, NM 87701
San Miguel County (505) 426-3504
DR. MARIANNE M. LUCHINI M.D.
Family Medicine
104 LEGION DR
LAS VEGAS, NM 87701
San Miguel County (505) 603-3462
DR. DENA LEWIS DNP, APRN, AGACNP-BC
Nurse Practitioner (Acute Care)
104 LEGION DR
LAS VEGAS, NM 87701
San Miguel County (505) 426-3500
DAVID MERCADO-HERNANDEZ CRNA
Nurse Anesthetist, Certified Registered
104 LEGION DR
LAS VEGAS, NM 87701
San Miguel County (505) 426-3500

Frequently 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 1396716643. It was assigned to this organization in the NPPES registry on January 26, 2006. 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 with taxonomy code 282N00000X.

Does San Miguel Hospital Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 32D0672876) is associated with this NPI, valid through January 2, 2027. 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 August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.