HIDALGO MEDICAL SERVICES NPI 1578802518

NPI Information

NPI: 1578802518
Provider Name: HIDALGO MEDICAL SERVICES

Other Name: ENA MITCHELL SENIOR AND WELLNESS CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 32D2055604

Address:
532 DEMOSS ST.
LORDSBURG, NM
ZIP 88045
Phone: (575) 542-2353
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HIDALGO MEDICAL SERVICES is a federally qualified health center (fqhc) clinic center in Lordsburg, NM. HIDALGO MEDICAL SERVICES NPI is 1578802518. The provider is registered as an organization entity type.
The provider Other Name Is Ena Mitchell Senior And Wellness Center.

The provider's business location address is:

532 DEMOSS ST.
LORDSBURG, NM
ZIP 88045-618
Phone: (575) 542-2353
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 32D2055604 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2013 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	3429	NEW MEXICO	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1 T 3429	OTHER	NEW MEXICO	OPERATORS LICENSE
2	3429	OTHER	NEW MEXICO	NM DOH OPERATORS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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