NPIMap

Organization Active NPI

Hidalgo Medical Services

Doing business as HMS Silver High School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Silver City, NM
National Provider Identifier
1255324562
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
03537 Issued in NM
Legal business name
HIDALGO MEDICAL SERVICES
Doing business as
HMS Silver High School Wellness Center
Practice address
3200 N Silver St
Silver City, NM 88061-7283
Phone
(575) 800-1467
Fax
(575) 313-8232
NPI assigned
Aug 23, 2005
Last updated
Sep 3, 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 3, 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 03537 NM Primary
Student Health Clinic/Center 261QS1000X

Addresses

Primary practice location

3200 N Silver St
Silver City, NM 88061-7283

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
11602384MedicaidNM

Other names 1

  • HMS Silver High School Wellness Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
O20040406000412 NM Part A Provider - Federally Qualified Health Center (FQHC) 4587572250 Practice locations: Silver City, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255324562. Details of each certification follow.

Federally qualified health center certification: CCN 321894

Legal name
HIDALGO MEDICAL SERVICES
Doing business as
HMS-SILVER HIGH SCHOOL WELLNESS CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 19, 2004
Last certification
Apr 19, 2004
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 31, 1980 in NM
Enrollment address
3200 N Silver St
Silver City, NM 88061-7283
Related CCNs
321867

Facilities connected through Provider of Services related, parent or unit certification numbers.

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
32D0931975HMS-Silver High School Wellness Center3200 Silver Street, Silver City, NM 88061Certificate of waiverAug 7, 2027

National Provider Directory

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

Other organizations with this tax ID 13

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

View all 13

Locations

3200 N Silver St
Silver City, NM 88061
Phone (505) 534-1015

Ownership & related parties

All disclosed owners & managing parties 13

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 OfficerTreasurer Nov 20, 2014
Frank Chaires Individual Corporate Director Sep 22, 2016
Priscilla Perea Individual Corporate Director Nov 1, 2013 5%
Pamela Archibald Individual Corporate Director Sep 22, 2016
Hidalgo Medical Services Organization, Lordsburg, NM Operational/Managerial Control Sep 10, 2013
William Walter Individual Corporate Director Jun 23, 2015
Gilda Ortego Individual Corporate DirectorHMS Board of Directors Secretary Jul 17, 2008 5%
Magdaleno Manzanarez Individual Corporate Director Jul 1, 2003
Barbara Guber Individual Corporate Director Jun 30, 2016
Daniel Otero Individual Corporate Officer Feb 23, 2016
W-2 Managing EmployeeCeo Feb 23, 2016
Operational/Managerial Control Feb 23, 2016
Betsy Ward Individual Corporate Director Jun 30, 2016
Barbara a Trujillo Individual Corporate Director Jun 1, 2011
Carmen Acosta Individual Corporate OfficerChairman Nov 20, 2014

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
HMSBayard, NM, CCN 321889 Federally qualified health center Operational/Managerial Control Feb 23, 2016
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 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1255324562",
    "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": "3200 N SILVER ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617283",
            "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": "2005-08-23",
        "last_updated": "2026-09-03",
        "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": "NM",
            "license": "03537",
            "primary": true
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11602384",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HMS Silver High School Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver City, NM

Sources for this page

Verify at the official NPI Registry.