HIDALGO MEDICAL SERVICES (NPI# 1578802518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578802518 |
| Entity Type | Organization |
| Organization Name | HIDALGO MEDICAL SERVICES |
| Other Organization Name | ENA MITCHELL SENIOR AND WELLNESS CENTER |
| Practice Address |
532 Demoss St. Lordsburg NM 88045-2618 |
| Mailing Address |
530 De Moss St Lordsburg NM 88045-2618 |
| Practice Telephone | 5755422353 |
| Practice Fax Number | 5755422388 |
| Mailing Telephone | 5755422307 |
| Mailing Fax Number | 5755422388 |
| Enumeration Date | 2013-02-12 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
3429 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | NM DOH OPERATORS LICENSE | 3429 | 01 |
| NM | OPERATORS LICENSE | 1 T 3429 | 01 |
| Other Name | Type Code |
|---|---|
| Ena Mitchell Senior and Wellness Center | Other Name - Individual/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 |
| 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 |
| 1073506911 | Hidalgo Medical Services | Clinic/Center | 1107 Tom Foy Blvd, Bayard, NM 88023-9793 | 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 |
532 DEMOSS ST. |
| City | LORDSBURG |
| State | NM |
| Zip Code | 88045-2618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801224969 | Patrick Kelly Saucedo | Case Manager/Care Coordinator | 332 E. Motel Dr., Lordsburg, NM 88045 | 2013-10-28 |
| 1952749459 | Edgar Eduardo Gomez | Case Manager/Care Coordinator | 332 East Motel Drive, Lordsburg, NM 88045 | 2013-06-06 |
| 1265601652 | Kristene C. Sheryl | Counselor | 332 E. Motel Drive, Lordsburg, NM 88045 | 2008-02-29 |
| 1811396823 | Efstathia Yerende | Counselor | 530 De Moss St, Lordsburg, NM 88045 | 2014-08-14 |
| 1073931457 | Kerena Barron | Case Manager/Care Coordinator | 332 East Motel Drive, Lordsburg, NM 88045 | 2014-04-02 |
| 1972711687 | Steven Cecil Jones | Pharmacist | 530 Demoss St, Lordsburg, NM 88045 | 2007-05-18 |
| 1497878003 | Sara C Johnson | Speech-Language Pathologist | 500 Ownby St, Lordsburg, NM 88045 | 2007-04-09 |
| 1669429189 | Abeyta Physical Therapy & Sports Medicine Inc | Physical Therapist | 114 E Motel Dr, Lordsburg, NM 88045 | 2006-05-29 |
| 1508864133 | Frank Peacock | Dentist | 530 Demoss Street, Lordsburg, NM 88045 | 2005-07-08 |
| 1235143819 | James Bartlem Holder IIi | Internal Medicine | 167 North Main Street, Tuba City, AZ 88045-0600 | 2006-07-28 |
| Find all providers in zip 88045 | ||||
| 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 |
|---|---|---|---|---|
| 1306843180 | Hidalgo Medical Services | Clinic/Center | 530 De Moss St, Hidalgo Medical Services, Lordsburg, NM 88045-2618 | 2005-07-07 |
| 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.