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CH06723U Hidalgo Medical Services (Active)
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Main Details
Name
Hidalgo Medical Services
Subdivision Name
HMS Mining District Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031054
340B ID
CH06723U
Grant Number
H80CS00744
Additional Details
Current Program Status
Active
Registration Date
4/5/2021
Participating Start Date
4/7/2021
Participating Approval Date
4/6/2021
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
517 East St
Santa Clara, NM 88026
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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