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CH06723Q HIDALGO MEDICAL SERVICES (Active)
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Main Details
Name
HIDALGO MEDICAL SERVICES
Subdivision Name
HMS LORDSBURG HSHC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000122
340B ID
CH06723Q
Grant Number
H80CS00744
Additional Details
Current Program Status
Active
Registration Date
7/9/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/10/2015
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
528 W 2nd St
Lordsburg, NM 88045-1643
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
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