Organization Active NPI

Hidalgo Medical Services

Doing business as HMS Silver City Mental Health Center

  • Federally Qualified Health Center (FQHC)
  • Silver City, NM
National Provider Identifier
1780878074
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
3255 Issued in NM
Legal business name
HIDALGO MEDICAL SERVICES
Doing business as
HMS Silver City Mental Health Center
Practice address
301 W College Ave
Silver City, NM 88061-5002
Phone
(575) 542-2368
Fax
(575) 542-2388
NPI assigned
Aug 30, 2007
Last updated
Jul 15, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
HIDALGO MEDICAL SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Authorized official

Name
Mr. Forrest N Olson
Title
Ceo
Phone
(575) 542-2368

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 3255 NM Primary
Mental Health Counselor 101YM0800X 3255 NM

Addresses

Primary practice location

301 W College Ave
Silver City, NM 88061-5002

Mailing address

530 Demoss Street
Lordsburg, NM 88045-2618
Phone (575) 542-2368

Other identifiers 1

IdentifierTypeStateIssuer
41805755MedicaidNM

Other names 1

  • HMS Silver City Mental Health Center Doing business as

National Provider Directory

National Provider Directory
Part of
Hidalgo Medical Service

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1780878074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 DEMOSS STREET",
            "city": "LORDSBURG",
            "state": "NM",
            "postal_code": "880452618",
            "telephone_number": "575-542-2368",
            "fax_number": "575-542-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W COLLEGE AVE",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615002",
            "telephone_number": "575-542-2368",
            "fax_number": "575-542-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDALGO MEDICAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIDALGO MEDICAL SERVICES",
        "enumeration_date": "2007-08-30",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "FORREST",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-542-2368",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NM",
            "license": "3255",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "3255",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41805755",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HMS Silver City Mental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver City, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.