Organization
HIDALGO MEDICAL SERVICES
Active
Parent organization
HIDALGO MEDICAL SERVICES
Other names
HMS Cliff-Gila Community Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HIDALGO MEDICAL SERVICES
Authorized official
DANIEL OTERO (CEO)
(575) 542-2322
Entity
Organization
Contact information
Practice address
415 HWY 211, GILA, NM 88038-9800
(575) 535-4384
(575) 542-2388
Mailing address
530 DE MOSS ST, LORDSBURG, NM 88045-2618
(575) 542-2368
(575) 542-2388
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
3184
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12007269
—
NM
Enumeration date
08/25/2005
Last updated
03/04/2016
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