Healthcare Provider Details

I. General information

NPI: 1225180748
Provider Name (Legal Business Name): ARTESIA PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 W QUAY AVE
ARTESIA NM
88210-1826
US

IV. Provider business mailing address

1106 W QUAY AVE
ARTESIA NM
88210-1826
US

V. Phone/Fax

Practice location:
  • Phone: 505-746-2777
  • Fax:
Mailing address:
  • Phone: 505-746-2777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateNM

VIII. Authorized Official

Name: MRS. NAOMI R. FUENTES
Title or Position: SECRETARY
Credential:
Phone: 505-746-2777