HIDALGO MEDICAL SERVICES NPI 1265425425

NPI Information

HIDALGO MEDICAL SERVICES is a federally qualified health center (fqhc) clinic center in Silver City, NM. HIDALGO MEDICAL SERVICES NPI is 1265425425. The provider is registered as an organization entity type.
The provider Is Doing Business As Hms Med Square Clinic.

The provider's business location address is:

114 W 11TH ST
SILVER CITY, NM
ZIP 88061-124
Phone: (575) 388-1511
Fax: (575) 542-2388

The provider's authorized official is Daniel Otero .
The authorized official title is Ceo and has the following contact phone number (575) 542-2322.

The CLIA number assigned to this NPI record is 32D0537243 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2005 and was last updated on 3/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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