Healthcare Provider Details

I. General information

NPI: 1437286044
Provider Name (Legal Business Name): ARTESIA GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 06/03/2021
Certification Date: 06/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 NORTH 13TH STREET
ARTESIA NM
88210-1166
US

IV. Provider business mailing address

702 NORTH 13TH STREET
ARTESIA NM
88210-1166
US

V. Phone/Fax

Practice location:
  • Phone: 505-736-8112
  • Fax:
Mailing address:
  • Phone: 505-736-8112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number6788
License Number StateNM

VIII. Authorized Official

Name: JOE SALGADO
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 575-748-3333