NPIMap

Organization Active NPI

Hidalgo Medical Services

Doing business as HMS Mining District Clinic

  • Federally Qualified Health Center (FQHC)
  • Santa Clara, NM
National Provider Identifier
1487265666
Registry record updated Sep 3, 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 Mining District Clinic
Practice address
517 East St
Santa Clara, NM 88026-5068
Phone
(575) 800-1467
Fax
(575) 313-8231
NPI assigned
Aug 12, 2020
Last updated
Sep 3, 2026By the provider in NPPES
Organization subpart
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

517 East St
Santa Clara, NM 88026-5068

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
81728883MedicaidNM

Other names 1

  • HMS Mining District 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
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
O20201123002435 NM Part A Provider - Federally Qualified Health Center (FQHC) 4587572250 Practice locations: Santa Clara, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487265666. Details of each certification follow.

Federally qualified health center certification: CCN 321972

Legal name
HIDALGO MEDICAL SERVICES
Doing business as
HMS MINING DISTRICT CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 20, 2020
Last certification
Nov 20, 2020
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Oct 23, 2020 in NM
Enrollment address
517 East St
Santa Clara, NM 88026-5068

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.

National Provider Directory

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

Other organizations with this tax ID 13

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

View all 13

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Frank Chaires Individual Corporate Director Sep 22, 2016
Randi Ybarra Individual Corporate DirectorBoard Treasurer Aug 26, 2021
Lorenzo Saenz Individual Corporate DirectorBoard Memeber Apr 27, 2023
Shaun Bird Individual Corporate DirectorBoard Member Apr 27, 2023
Arthur Clark Smith Individual Corporate Director Feb 28, 2019
Hidalgo Medical Services Organization, Lordsburg, NM Non-profit Operational/Managerial Control Oct 23, 2020
William Walter Individual Corporate Director Jun 23, 2015
Saguara Compton Individual Corporate Director Feb 28, 2019
Barbara Guber Individual Corporate Director Jun 30, 2016
Daniel Otero Individual Operational/Managerial ControlCeo Feb 23, 2016
Carmen Acosta Individual Corporate DirectorChairman Jul 1, 2006
Russell Tolley Individual Corporate DirectorBoard Member Aug 26, 2021

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
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

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 5

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": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1487265666",
    "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": "517 EAST ST",
            "city": "SANTA CLARA",
            "state": "NM",
            "postal_code": "880265068",
            "telephone_number": "575-800-1467",
            "fax_number": "575-313-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDALGO MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81728883",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HMS Mining District Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Clara, NM

Sources for this page

Verify at the official NPI Registry.