SAN MIGUEL CLINIC CORP
NPI 1114920717
Family Medicine in Las Vegas,


Quality Rating: 100 out of 100 score

NPI Status: Active since May 27, 2005

Contact Information

108 Legion Dr Ste A
Las Vegas,
Post Code: 87701
Phone: (505) 454-9499
Fax: -

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San Miguel Clinic Corp in Las Vegas - Family Medicine

San Miguel Clinic Corp is a Family Medicine in Las Vegas, . San Miguel Clinic Corp practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for San Miguel Clinic Corp is 1114920717. The last update date is 2023-10-17.

San Miguel Clinic Corp's current location address is 108 Legion Dr Ste A, Las Vegas, . You can contact this provider via phone number (505) 454-9499 and fax number -. The mailing address for San Miguel Clinic Corp is 108 Legion Dr Ste A, Las Vegas, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1114920717
Provider Legal Name
SAN MIGUEL CLINIC CORP
Other Organization Name
SAN MIGUEL CLINIC CORP
Other Name Type
-
Entity Type
Organization
Location Address
108 Legion Dr Ste A, Las Vegas,
Location Phone
(505) 454-9499
Location Fax
-
Mailing Address
Po Box 5009, Brentwood, Tennessee(TN)
Mailing Phone
Mailing Fax
-
Enumeration Date
2005-05-27
Last Update Date
2023-10-17
Code Navigator

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

Family Medicine

Taxonomy Code
207Q00000X
Type
-
License No.
-
License State
-
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
47485817 MEDICAID (05) New Mexico (NM)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114920717
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124182072
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2124182072
2 + 1 + 2 + 4 + 1 + 8 + 2 + 0 + 7 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 7 7

The NPI number 1114920717 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114920238 DOUGLAS A. CLARK
Individual
Internal Medicine, Hematology & Oncology 4901 LANG AVE NE
ALBUQUERQUE, New Mexico (NM)
505-842-8171
1114916566 PATRICIA MARI HENNESSEY
Individual
Counselor, Professional 2600 MARBLE AVE NE
ALBUQUERQUE, New Mexico (NM)
505-272-2190
1114916319 NEW MEXICO BEHAVIORAL HEALTH INSTITUTE
LAS VEGAS MEDICAL CENTER
Organization
Nursing Facility/Intermediate Care Facility 3695 HOT SPRINGS BLVD
LAS VEGAS, New Mexico (NM)
505-454-2190
1114911567 ELIZABETH COLE STIRLING
Individual
Psychologist PO BOX 1267
SANTA FE, New Mexico (NM)
505-983-1583
1114911252 PHILLIP EDWARD ANDREWS
Individual
Pharmacist 2336 BROTHER ABDON WAY
SANTA FE, New Mexico (NM)
505-984-1137