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Contact Information

SAN MIGUEL EMERGENCY GROUP LLC
104 LEGION DR
LAS VEGAS, NM87701-4804
 Phone: 800-893-9698
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Medical

363AM0700X 97 Physician Assistant
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SAN MIGUEL EMERGENCY GROUP LLC

NPI # 1861430480
LBN Legal business name SAN MIGUEL EMERGENCY GROUP LLC
Authorized official WILLIAM SCHUMACHER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2006
Last updated 10/09/2007 - About 19 years ago
Identifiers
NM Medicaid 03188337
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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