NPIMap

Organization Active NPI

Artesia General Hospital

Doing business as Artesia Healthcare Professionals

  • Surgery Physician
  • Artesia, NM
National Provider Identifier
1114076825
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ARTESIA GENERAL HOSPITAL
Doing business as
Artesia Healthcare Professionals
Practice address
612 N 13TH St
Suite B
Artesia, NM 88210-1112
Phone
(505) 746-3119
NPI assigned
Jan 10, 2007
Last updated
Jun 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joe SalgadoNPI 1518958503
Title
Chief Executive Officer
Phone
(575) 748-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Internal Medicine Physician 207R00000X NU
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

612 N 13TH St
Suite B
Artesia, NM 88210-1112

Mailing address

PO Box 629
Artesia, NM 88211-0629
Phone (505) 746-3119

Other names 1

  • ARTESIA HEALTHCARE PROFESSIONALS Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehr-direct@artesiageneral.hin.us Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031111000413 NM Part B Supplier - Clinic/Group Practice 9537070586 Receives reassigned benefits from 101 practitioners
1 other NPI on this enrollment
Practice locations: Artesia, NM; Carlsbad, NM

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

612 N 13th St
Ste G
Artesia, NM 88210
Phone (505) 736-8262

712 N 13TH St
Artesia, NM 88210

1410 N 8th St
Carlsbad, NM 88220

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Artesia Healthcare ProfessionalsArtesia, NM, CCN 323401 Rural health clinic 5% Or Greater Direct Ownership Interest Oct 31, 1999

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Artesia General Hospital

    dba Memorial Family Practice at Artesia General Hospital

    • Rural Health Clinic/Center
    • Artesia, NM
    • NPI 1437296522

    5% Or Greater Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 150

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 150

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1114076825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882110629",
            "telephone_number": "505-746-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N 13TH ST",
            "address_2": "SUITE B",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101112",
            "telephone_number": "505-746-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTESIA GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "SALGADO",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "575-748-3333"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehr-direct@artesiageneral.hin.us",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "702 N 13th St",
            "city": "Artesia",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882101199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ARTESIA HEALTHCARE PROFESSIONALS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARTESIA HEALTHCARE PROFESSIONALS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Artesia, NM

Sources for this page

Verify at the official NPI Registry.