Provider Demographics
NPI:1114076825
Name:ARTESIA GENERAL HOSPITAL
Entity Type:Organization
Organization Name:ARTESIA GENERAL HOSPITAL
Other - Org Name:ARTESIA HEALTHCARE PROFESSIONALS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:SALGADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-748-3333
Mailing Address - Street 1:PO BOX 629
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:NM
Mailing Address - Zip Code:88211-0629
Mailing Address - Country:US
Mailing Address - Phone:505-746-3119
Mailing Address - Fax:
Practice Address - Street 1:612 N 13TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:ARTESIA
Practice Address - State:NM
Practice Address - Zip Code:88210-1112
Practice Address - Country:US
Practice Address - Phone:505-746-3119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty