Organization
SOUTHWESTERN REGIONAL MEDICAL CENTER
Active
Other names
Artesia Healthcare Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH W RANDALL (CEO)
(505) 748-3333
Entity
Organization
Contact information
Practice address
612 N 13TH ST, ARTESIA, NM 88210-1167
(505) 748-8356
(505) 748-8305
Mailing address
PO BOX 629, ARTESIA, NM 88211-0629
(505) 748-8356
(505) 748-8305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NM
207R00000X
Internal Medicine Physician
Primary
—
NM
207X00000X
Orthopaedic Surgery Physician
—
NM
2084P0800X
Psychiatry Physician
—
NM
208600000X
Surgery Physician
—
NM
363LF0000X
Family Nurse Practitioner
—
NM
Other
Enumeration date
06/26/2006
Last updated
06/22/2021
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