DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SAN MIGUEL EMERGENCY GROUP LLC

MEDICARE: SAN MIGUEL EMERGENCY GROUP LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant
2363L00000XNurse Practitioner
3207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861430480
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAN MIGUEL EMERGENCY GROUP LLC
Provider Business Mailing Address
First Line : 200 CORPORATE BLVD
Second Line : SUITE 201
City : LAFAYETTE
State : LA
Zip : 70508-3870
Country : US
Telephone Number : 800-893-9698
Fax Number :
Provider Business Practice Location Address
First Line : 104 LEGION DR
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4804
Country : US
Telephone Number : 800-893-9698
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. WILLIAM SCHUMACHER
Credential : MD
Telephone Number : 800-893-9698
Provider Enumeration Date : 06/04/2006
Last Update Date : 10/09/2007

Similar Medicare Providers

1053266395 — KROSSROADS INTEGRATIVE HEALTH AND RECOVERY SOLUTIONS INC
Practice Location Address:
104 LEGION DR
LAS VEGAS, NM
87701-4804
Practice Phone: 505-570-2526
Practice Fax:
1336132786 — DR. MARIANNE M. LUCHINI M.D.
Practice Location Address:
104 LEGION DR
LAS VEGAS, NM
87701-4804
Practice Phone: 505-603-3462
Practice Fax: 505-629-1526
1396716643 — SAN MIGUEL HOSPITAL CORPORATION
Practice Location Address:
104 LEGION DR
LAS VEGAS, NM
87701-4804
Practice Phone: 505-426-3500
Practice Fax: 505-454-9502
1487625257 — SAN MIGUEL HOSPITAL CORPORATION
Practice Location Address:
104 LEGION DR
LAS VEGAS, NM
87701-4804
Practice Phone: 505-426-3500
Practice Fax: 505-454-9502
1770607244 — DR. MONICA RENEE ARAGON PHARM. D. PH.C.
Practice Location Address:
104 LEGION DR
LAS VEGAS, NM
87701-4804
Practice Phone: 505-426-3755
Practice Fax:
1174749964 — ADVANCED ANESTHESIA CARE P.C.
Practice Location Address:
104 LEGION DR
LAS VEGAS, NM
87701-4804
Practice Phone: 505-426-3716
Practice Fax: 505-426-3722

Directions to “SAN MIGUEL EMERGENCY GROUP LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.