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Organization

HIDALGO MEDICAL SERVICES

Active
Parent organization
HIDALGO MEDICAL SERVICES
Other names
HMS Lordsburg High School 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
501 W 4TH ST, LORDSBURG, NM 88045-1643
(575) 542-3389
(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
261QS1000X
Student Health Clinic/Center
7678
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78001064
NM
Enumeration date
05/16/2007
Last updated
03/04/2016
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