NPIMap

Organization Active NPI

Hidalgo Medical Services

Doing business as HMS-Bayard Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bayard, NM
National Provider Identifier
1861432015
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
3228 Issued in NM
Legal business name
HIDALGO MEDICAL SERVICES
Doing business as
HMS-Bayard Community Health Center
Practice address
805 Tom Foy Blvd
Bayard, NM 88023-9767
Phone
(575) 537-5068
Fax
(575) 542-2388
NPI assigned
Jun 7, 2006
Last updated
Mar 4, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
HIDALGO MEDICAL SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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) 542-2322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 3228 NM Primary

Addresses

Primary practice location

805 Tom Foy Blvd
Bayard, NM 88023-9767

Mailing address

530 De Moss St
Lordsburg, NM 88045-2618
Phone (575) 542-2368

Other names 1

  • HMS-Bayard Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

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

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
Part of
Hidalgo Meidcla Service

Practitioners & affiliated clinicians

Practitioners 4

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": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1861432015",
    "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": "575-542-2368",
            "fax_number": "575-542-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 TOM FOY BLVD",
            "city": "BAYARD",
            "state": "NM",
            "postal_code": "880239767",
            "telephone_number": "575-537-5068",
            "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": "2006-06-07",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-542-2322"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NM",
            "license": "3228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HMS-Bayard Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayard, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.