=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881560084
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARTESIA GENERAL HOSPITAL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/14/2025
-----------------------------------------------------
Last Update Date | 10/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 105 E HAGERMAN ST
-----------------------------------------------------
City | CARLSBAD
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 88220-5899
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 575-885-2180
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 702 N 13TH ST
-----------------------------------------------------
City | ARTESIA
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 88210-1199
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 575-736-8114
-----------------------------------------------------
Fax | 575-736-8114
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COO
-----------------------------------------------------
Name | JOSE L GURROLA SR.
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 575-736-8114
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QR1300X
-----------------------------------------------------
Taxonomy Name | Rural Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------