Artesia General Hospital
Organization Active NPI Psychiatric Hospital Unit · Artesia, NM
NPI 1982805222 · NPPES record last updated Jun 10, 2021
Key facts
- NPI
- 1982805222
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital Unit 273R00000X
- License
- PENDING (NM)
- Legal business name
- ARTESIA GENERAL HOSPITAL
- Practice address
- 702 N 13TH St
Artesia, NM 88210-1166 - Phone
- (505) 748-3333
- Fax
- (505) 748-8500
- NPI assigned
- May 31, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Joe Salgado
- Title
- Chief Executive Officer
- Phone
- (575) 748-6333
Owners & managing parties with NPI records 1
-
Joe P Salgado, MD
Other NPIs on the same Medicare enrollment 1
Related certifications (CCN) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Hospital certification: CCN 32U030
- Legal name
- ARTESIA GENERAL HOSPITAL
- Organization structure
- Corporation · Non-profit
- Incorporated
- Feb 16, 2000 in NM
- Enrollment address
- 702 N 13TH St
Artesia, NM 88210-1166 - Hospital subgroups
- Acute care, Swing-bed approved, Psychiatric unit
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Corina B Yates |
Corporate Officer |
Nov 1, 2018 | |
| W-2 Managing Employee | Nov 1, 2018 | ||
| Operational/Managerial Control | Nov 1, 2018 | ||
| Joe P Salgado |
5% Or Greater Indirect Ownership Interest |
Oct 1, 2020 | |
| Corporate Officer |
Oct 1, 2020 | ||
| Corporate Director | Oct 1, 2020 | ||
| W-2 Managing Employee | Oct 1, 2020 | ||
| Operational/Managerial Control | Oct 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070608000405 | NM | Part a Provider - Hospital | 9537070586 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Artesia, NM |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | PENDING | NM | Yes |
Addresses
Primary practice location
702 N 13TH St
Artesia, NM 88210-1166
Mailing address
702 N 13TH St
Artesia, NM 88210-1166
Phone (505) 748-3333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B3279 | Medicaid | NM |
Other names
- Southwestern General Medical Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ehr-direct@artesiageneral.hin.us | Direct |
Other providers in Artesia, NM
- Artesia General Hospital
- Artesia General Hospital
- Artesia General Hospital
- Artesia General Hospital
- Artesia General Hospital
- Artesia Health Facilities LP
- Artesia Healthcare & Rehabilitation Center LLC
- Artesia Physical Therapy LLC
- Artesia Public Schools
- Artesia Public Schools
All providers in Artesia, NM · Psychiatric Hospital Unit in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.