Ena Mitchell Senior And Wellness Center
LBN: Hidalgo Medical Services
Ena Mitchell Senior And Wellness Center is an health care organization with primary practice located at 532 Demoss St. , Lordsburg NM 88045-2618. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Hidalgo Medical Services can be contacted via phone (575) 542-2353, or through Otero, Daniel via phone (575) 542-2322.
Contact Information
Primary practice address
532 Demoss St.
Lordsburg NM 88045-2618
Phone: (575) 542-2353
Fax: (575) 542-2388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 3429 | New Mexico |
Profile Details
| NPI number | 1578802518 |
|---|---|
| LBN Legal business name | Hidalgo Medical Services |
| DBA Doing business as | Ena Mitchell Senior And Wellness Center |
| Authorized official | Otero, Daniel |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 12th, 2013 |
| Last updated | Mar 4th, 2016 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578802518 | NPPES |
| New Mexico | Other | 1 T 3429 | OPERATORS LICENSE |
| New Mexico | Other | 3429 | OPERATORS LICENSE |
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