HIDALGO MEDICAL SERVICES (NPI# 1073506911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073506911 |
Entity Type | Organization |
Organization Name | HIDALGO MEDICAL SERVICES |
Other Organization Name | HMS COBRE HEALTH CLINIC |
Practice Address |
1107 Tom Foy Blvd Bayard NM 88023-9793 |
Mailing Address |
530 De Moss St Lordsburg NM 88045-2618 |
Practice Telephone | 5755345069 |
Practice Fax Number | 5755422388 |
Mailing Telephone | 5755422368 |
Mailing Fax Number | 5755422388 |
Enumeration Date | 2005-08-25 |
Last Update Date | 2016-03-04 |
Authorized Official Name | DANIEL OTERO (CEO) |
Authorized Official Telephone | 5755422322 |
Is Organization Subpart | Y |
Parent Organization Name | HIDALGO MEDICAL SERVICES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QS1000X |
Clinic/Center Specialization: Student Health |
200740 | NM | Ambulatory Health Care Facilities |
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 42074878 | 05 |
Other Name | Type Code |
---|---|
HMS Cobre Health Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487265666 | Hidalgo Medical Services | Clinic/Center | 105 1/2 N East St., Santa Clara, NM 88026 | 2020-08-12 |
1467971986 | Hidalgo Medical Services | Clinic/Center | 3200 32nd St Bypass, Silver City, NM 88061 | 2017-09-15 |
1578802518 | Hidalgo Medical Services | Clinic/Center | 532 Demoss St., Lordsburg, NM 88045-2618 | 2013-02-12 |
1689881245 | Hidalgo Medical Services | Clinic/Center | 501 W 4th St, Lordsburg, NM 88045-1643 | 2007-05-16 |
1861432015 | Hidalgo Medical Services | Clinic/Center | 805 Tom Foy Blvd, Bayard, NM 88023-9767 | 2006-06-07 |
1427041490 | Hidalgo Medical Services | Clinic/Center | 415 Hwy 211, Gila, NM 88038-9800 | 2005-08-25 |
1801889878 | Hidalgo Medical Services | Clinic/Center | 2743-b Highway 35n, Mimbres, NM 88049-0358 | 2005-08-25 |
1255324562 | Hidalgo Medical Services | Clinic/Center | 3200 Silver Street, Silver City, NM 88061-7283 | 2005-08-23 |
1548253701 | Hidalgo Medical Services | Clinic/Center | 56 Panther Boulevard, Animas, NM 88020 | 2005-08-23 |
1306843180 | Hidalgo Medical Services | Clinic/Center | 530 De Moss St, Hidalgo Medical Services, Lordsburg, NM 88045-2618 | 2005-07-07 |
Street Address |
1107 TOM FOY BLVD |
City | BAYARD |
State | NM |
Zip Code | 88023-9793 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902447659 | Cindy Cruz | Behavior Technician | 719 Mckee St, Bayard, NM 88023 | 2019-10-03 |
1275034241 | Danielle Aguirre | Registered Nurse | 1300 Tom Foy Blvd, Bayard, NM 88023 | 2018-02-26 |
1962736215 | Margarita Silva Potts | Counselor | 807 Grant St., Bayard, NM 88023 | 2009-09-18 |
1699804286 | Brad K Holmgren | Social Worker | 900 Central, Bayard, NM 88023 | 2007-03-02 |
1295898633 | Lila Denise Fajardo | Occupational Therapist | 900 Central Ave, Bayard, NM 88023 | 2006-12-18 |
1134126964 | Jane N Seavers | Registered Nurse | Hms Cobre Health Clinic, 1107 Tom Foy Blvd., Bayard, NM 88023 | 2005-07-07 |
1457747917 | Brandon I Ferguson | Family Medicine | 805 Tom Foy Blvd, Bayard, NM 88023 | 2015-04-11 |
1144643297 | Janis Katrina Marquez | Registered Nurse | 900 Central Ave, Bayard, NM 88023 | 2014-01-27 |
1962825018 | Yvette Gonzales | Social Worker | 900 Central Ave, Bayard, NM 88023 | 2014-01-27 |
1871916924 | Julie Peru | Occupational Therapy Assistant | 900 Central Ave, Bayard, NM 88023 | 2014-01-27 |
Find all providers in zip 88023 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861432015 | Hidalgo Medical Services | Clinic/Center | 805 Tom Foy Blvd, Bayard, NM 88023-9767 | 2006-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487265666 | Hidalgo Medical Services | Clinic/Center | 105 1/2 N East St., Santa Clara, NM 88026 | 2020-08-12 |
1902436702 | La Clinica De Familia, Incorporated | Clinic/Center | 510 E Lisa Dr Bldg 2, Chaparral, NM 88081-7809 | 2020-01-21 |
1114578671 | La Clinica De Familia, Inc. | Clinic/Center | 100 Shrode Rd, Anthony, NM 88021-7350 | 2019-09-26 |
1083262422 | Presbyterian Medical Services | Clinic/Center | 28 Panther Parkway, 63 North Highway, Pecos, NM 87552 | 2019-08-29 |
1669930392 | El Centro Family Health | Clinic/Center | 1401 8th Street, Springer, NM 87747 | 2019-03-12 |
1487119608 | Presbyterian Medical Services | Clinic/Center | 1 Salomon Griego Road, Veguita, NM 87062 | 2019-02-01 |
1417440777 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1797b St. Rd 502, Santa Fe, NM 87506 | 2018-06-12 |
1467971986 | Hidalgo Medical Services | Clinic/Center | 3200 32nd St Bypass, Silver City, NM 88061 | 2017-09-15 |
1417472192 | Fnch Outpatient Services | Clinic/Center | 634 Manzano Street Ne, Albuquerque, NM 87110 | 2017-08-03 |
1689034662 | La Clinica De Familia, Inc. | Clinic/Center | 6301 Nm Highway 28, Anthony, NM 88021 | 2016-03-03 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.