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Hidalgo Medical Services

Organization Active NPI Federally Qualified Health Center (FQHC) · Animas, NM

NPI 1548253701 · NPPES record last updated Sep 9, 2026

Key facts

NPI
1548253701
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
HIDALGO MEDICAL SERVICES
Practice address
1356 State Hwy 9
Animas, NM 88020
Phone
(575) 800-1467
Fax
(575) 534-0292
NPI assigned
Aug 23, 2005
Organization subpart
Yes
Parent organization (as reported)
HIDALGO MEDICAL SERVICES

Authorized official

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

Owned or controlled facilities with NPI records 4

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

Other NPIs on the same Medicare enrollment 12

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

Other NPIs with the same Medicare PAC ID 11

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

Corporate family (same tax ID) 13

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

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

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 39

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D0986813Hidalgo Medical Services
1356 State Hwy 9, Animas, NM 88020		Certificate of waiverMay 22, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NM

Federally qualified health center certification: CCN 321882

Legal name
HIDALGO MEDICAL SERVICES
Doing business as
HMS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 10, 2001
Last certification
Mar 10, 2001
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Jan 31, 1980 in NM
Enrollment address
1356 State Hwy 9
Animas, NM 88020-9800
Related CCNs
321867

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
Randi Ybarra
Individual 		Corporate Director
Treasurer		 Jan 26, 2023
Shaun Bird
Individual 		Corporate Director
Member		 Apr 27, 2023
Joey Whitted
Individual 		Corporate Director
Member		 Apr 27, 2023
William Walter
Individual 		Corporate Director
Vice Chairman		 Jun 23, 2015
Saguara Compton
Individual 		Corporate Director Feb 28, 2019
Barbara Guber
Individual 		Corporate Officer
Secretary		 Jan 26, 2023
Daniel Otero
Individual 		Corporate Officer
Ceo		 Feb 23, 2016
W-2 Managing Employee
Ceo		 Feb 23, 2016
Carmen Acosta
Individual 		Corporate Officer
Chairman		 Jan 26, 2023
Corporate Director
Chairman		 Jan 26, 2023
Russell Tolley
Individual 		Corporate Director
Member		 Aug 26, 2021

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
HMS
Bayard, NM · CCN 321889		 Federally qualified health center Operational/Managerial Control Feb 23, 2016
HMS-Silver High School Wellness Center
Silver City, NM · CCN 321894		 Federally qualified health center Operational/Managerial Control Sep 10, 2013
Tranquil Skies CMH
Silver City, NM · CCN 321000		 Federally qualified health center Operational/Managerial Control Jan 31, 1980
HMS Mining District Clinic
Santa Clara, NM · CCN 321972		 Federally qualified health center Operational/Managerial Control Oct 23, 2020

Medicare enrollment records

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
O20090812000578 NM Part a Provider - Federally Qualified Health Center (FQHC) 4587572250 Practice locations: Animas, NM

National Provider Directory

Tax ID family
Hidalgo Medical Services (14 organizations share this tax ID)
Part of
Hidalgo Medical Services

Locations

1 Panther Blvd
Animas, NM 88020
Phone (505) 548-5599

Specialties & licenses

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

Addresses

Primary practice location

1356 State Hwy 9
Animas, NM 88020

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
E1329MedicaidNM

Other names

  • HMS Animas Valley Clinic Doing business as

Other providers in Animas, NM

All providers in Animas, NM · Federally Qualified Health Center (FQHC) in New Mexico

Sources for this page

Verify at the official NPI Registry.