| Hms Lordsburg High School Health Center | |
|
501 W 4th St Lordsburg NM 88045-1643 | |
| (575) 542-3389 | |
| (575) 542-2388 |
| Full Name | Hms Lordsburg High School Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 501 W 4th St, Lordsburg, New Mexico |
| Authorized Official Name and Position | Daniel Otero (CEO) |
| Authorized Official Contact | 5755422322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hms Lordsburg High School Health Center 530 De Moss St Lordsburg NM 88045-2618 Ph: (575) 542-2368 | Hms Lordsburg High School Health Center 501 W 4th St Lordsburg NM 88045-1643 Ph: (575) 542-3389 |
| NPI Number | 1689881245 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 03/04/2016 |
| Medicare PECOS PAC ID | 4587572250 |
|---|---|
| Medicare Enrollment ID | O20070511000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689881245 | NPI | - | NPPES |
| 78001064 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QS1000X | Clinic/center - Student Health | 7678 (New Mexico) | Secondary |
Hms Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 530 De Moss St, Hidalgo Medical Services, Lordsburg, NM 88045 Phone: 575-542-8384 Fax: 575-542-2388 | |
Ena Mitchell Senior And Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Demoss St., Lordsburg, NM 88045 Phone: 575-542-2353 Fax: 575-542-2388 |