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

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

Other NPIs on the same Medicare enrollment 1

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

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

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 Swing-Bed Unit
Hospital subgroups
Acute care, Swing-bed approved, Psychiatric unit

All disclosed owners & managing parties 2

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
Corporate Officer
Cfo
Nov 1, 2018
W-2 Managing Employee Nov 1, 2018
Operational/Managerial Control Nov 1, 2018
Joe P Salgado
Individual
5% Or Greater Indirect Ownership Interest
Ceo
Oct 1, 2020
Corporate Officer
Ceo
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 IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
B3279MedicaidNM

Other names

  • Southwestern General Medical Center Former legal business name

Electronic endpoints

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

Other providers in Artesia, NM

All providers in Artesia, NM · Psychiatric Hospital Unit in New Mexico

Sources for this page

Verify at the official NPI Registry.