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CH06723F HIDALGO MEDICAL SERVICES, INC (Terminated)
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Main Details
Name
HIDALGO MEDICAL SERVICES, INC
Subdivision Name
HMS-BAYARD COMMUNITY HEALTH CTR
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000402
340B ID
CH06723F
Grant Number
H80CS00744
Additional Details
Current Program Status
Terminated
Registration Date
10/30/2006
Participating Start Date
1/1/2007
Participating Approval Date
10/30/2006
Last Recertification Date
2/9/2018
Termination Date
Termination Reason
4/1/2019
Site closure
Contacts
Authorizing Official
Hidalgo Medical Services
Daniel Otero, CEO
(575) 590-7090
Primary Contact
Hidalgo Medical Services
Jim Hoy, CFO
(575) 542-2331
Addresses
Street Address
805 TOM FOY BLVD
BAYARD, NM 88023-9767
Billing Address
HIDALGO MEDICAL SERVICES
530 DEMOSS STREET, PO BOX BOX 550
LORDSBURG, NM 88045
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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