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CH06723B HIDALGO MEDICAL SERVICES (Active)
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Main Details
Name
HIDALGO MEDICAL SERVICES
Subdivision Name
HMS Mimbres Community Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034837
340B ID
CH06723B
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
2672 Hwy 35
San Lorenzo, NM 88041
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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2/24/12-changed zipcodes for Main and Billing address (was 88046 and 88045)
02/24/2012
April 2025
April 2025
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