NPIMap

Organization Active NPI

Hidalgo Medical Services

Doing business as HMS Cobre Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Bayard, NM
National Provider Identifier
1073506911
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HIDALGO MEDICAL SERVICES
Doing business as
HMS Cobre Health Clinic
Practice address
1107 Tom Foy Blvd
Bayard, NM 88023-9793
Phone
(575) 800-1467
Fax
(575) 313-8232
NPI assigned
Aug 25, 2005
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
HIDALGO MEDICAL SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Otero
Title
Ceo
Phone
(575) 800-1467

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Student Health Clinic/Center 261QS1000X 200740 NM

Addresses

Primary practice location

1107 Tom Foy Blvd
Bayard, NM 88023-9793

Mailing address

530 De Moss St
Lordsburg, NM 88045-2618
Phone (575) 800-1467

Other identifiers 1

IdentifierTypeStateIssuer
42074878MedicaidNM

Other names 1

  • HMS Cobre Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030131000002 NM Part A Provider - Federally Qualified Health Center (FQHC) 4587572250 Practice locations: Bayard, NM
O20040303001246 NM Part B Supplier - Clinic/Group Practice 4587572250 Receives reassigned benefits from 99 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Silver City, NM; Santa Clara, NM; Lordsburg, NM; Mimbres, NM; Gila, NM; Bayard, NM; Animas, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073506911. Details of each certification follow.

Federally qualified health center certification: CCN 321889

Legal name
HIDALGO MEDICAL SERVICES
Doing business as
HMS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 3, 2003
Last certification
Feb 3, 2003
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 31, 1980 in NM
Enrollment address
1107 Tom Foy Blvd
Bayard, NM 88023-9648

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D0939741HMS Cobre Health Clinic1107 Tom Foy Blvd, Bayard, NM 88023Certificate of waiverFeb 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Hidalgo Medical Service14 organizations share this tax ID, including this one
Part of
Hidalgo Medical Service

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Katy Estrada Individual Corporate Director Nov 1, 2013
Priscilla Perea Individual Corporate Director Nov 1, 2013
Hidalgo Medical Services Organization, Lordsburg, NM Operational/Managerial Control Feb 23, 2016
William Walter Individual Corporate DirectorVice Chairman Jul 28, 2016
Gilda Ortego Individual Corporate Director Jul 17, 2008
Magdaleno Manzanarez Individual Corporate DirectorBoard Member Governing Board Jan 31, 2003
Daniel Otero Individual Corporate OfficerCeo Feb 23, 2016
Operational/Managerial ControlCeo Feb 23, 2016
Barbara a Trujillo Individual Corporate DirectorHMS Board of Directors Member Jun 1, 2011
Carmen Acosta Individual Corporate DirectorVice Chairman of HMS Board of Di Jul 1, 2006

Owners & managing parties with NPI records 11

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
HMS-Silver High School Wellness CenterSilver City, NM, CCN 321894 Federally qualified health center Operational/Managerial Control Sep 10, 2013
Tranquil Skies CMHSilver City, NM, CCN 321000 Federally qualified health center Operational/Managerial Control Jan 31, 1980
HMS Mining District ClinicSanta Clara, NM, CCN 321972 Federally qualified health center Operational/Managerial Control Oct 23, 2020

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1073506911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 DE MOSS ST",
            "city": "LORDSBURG",
            "state": "NM",
            "postal_code": "880452618",
            "telephone_number": "575-800-1467",
            "fax_number": "575-694-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 TOM FOY BLVD",
            "city": "BAYARD",
            "state": "NM",
            "postal_code": "880239793",
            "telephone_number": "575-800-1467",
            "fax_number": "575-313-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDALGO MEDICAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIDALGO MEDICAL SERVICES",
        "enumeration_date": "2005-08-25",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-800-1467"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NM",
            "license": "200740",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42074878",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HMS Cobre Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayard, NM

Sources for this page

Verify at the official NPI Registry.