NPIMap

Organization Active NPI

Artesia General Hospital

Doing business as Memorial Family Practice at Artesia General Hospital

  • Rural Health Clinic/Center
  • Artesia, NM
National Provider Identifier
1437296522
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ARTESIA GENERAL HOSPITAL
Doing business as
Memorial Family Practice at Artesia General Hospital
Practice address
702 N 13TH St
Artesia, NM 88210-1166
Phone
(505) 746-3119
NPI assigned
Jan 30, 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 with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

702 N 13TH St
Artesia, NM 88210-1166

Mailing address

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

Other names 1

  • MEMORIAL FAMILY PRACTICE AT ARTESIA GENERAL HOSPITAL 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
O20040120000477 NM Part A Provider - Rural Health Clinic 9537070586 Practice locations: Artesia, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437296522. Details of each certification follow.

Rural health clinic certification: CCN 323401

Legal name
ARTESIA GENERAL HOSPITAL
Doing business as
ARTESIA HEALTHCARE PROFESSIONALS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 15, 2004
Last certification
Aug 28, 2024
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Oct 31, 1999 in TX
Enrollment address
702 N 13TH St
Memorial Family Practice at Artesia General Hospit
Artesia, NM 88210-1166
Related CCNs
320018

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Artesia General Hospital7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

702 N 13th St
Artesia, NM 88210
Phone (505) 748-3333

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Corina B Yates Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2017
W-2 Managing Employee Nov 1, 2016
Operational/Managerial Control Nov 1, 2018
Joe P Salgado Individual Corporate Officer Oct 1, 2020
Corporate Director Oct 1, 2020
W-2 Managing Employee Oct 1, 2020
Operational/Managerial Control Oct 1, 2020
Artesia General Hospital Organization, Artesia, NM Corporation 5% Or Greater Direct Ownership Interest Oct 31, 1999

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1437296522",
    "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": "702 N 13TH ST",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101166",
            "telephone_number": "505-746-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTESIA GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "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": "MEMORIAL FAMILY PRACTICE AT ARTESIA GENERAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEMORIAL FAMILY PRACTICE AT ARTESIA GENERAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Artesia, NM

Sources for this page

Verify at the official NPI Registry.