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CH06723A HIDALGO MEDICAL SERVICES, INC (Active)
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Main Details
Name
HIDALGO MEDICAL SERVICES, INC
Subdivision Name
HMS MED SQUARE CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002293
340B ID
CH06723A
Grant Number
H80CS00744
Additional Details
Current Program Status
Active
Registration Date
10/30/2006
Participating Start Date
1/1/2007
Participating Approval Date
10/30/2006
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Hidalgo Medical Services
Daniel Otero, CEO
(575) 590-7090
Primary Contact
Hidalgo Medical Services
Jamie S McMahen, Director of Finance
(575) 305-6591
Addresses
Street Address
114 W 11th St
Silver City, NM 88061-5136
Billing Address
HIDALGO MEDICAL SERVICES
530 DE MOSS ST
LORDSBURG, NM 88045
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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