Provider Demographics
NPI:1811085327
Name:COUNTY OF HIDALGO
Entity type:Organization
Organization Name:COUNTY OF HIDALGO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:LASHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-542-8272
Mailing Address - Street 1:300 SHAKESPEARE ST
Mailing Address - Street 2:
Mailing Address - City:LORDSBURG
Mailing Address - State:NM
Mailing Address - Zip Code:88045-1927
Mailing Address - Country:US
Mailing Address - Phone:505-542-8272
Mailing Address - Fax:505-542-8202
Practice Address - Street 1:115 EMS LN
Practice Address - Street 2:
Practice Address - City:LORDSBURG
Practice Address - State:NM
Practice Address - Zip Code:88045-2601
Practice Address - Country:US
Practice Address - Phone:505-542-8272
Practice Address - Fax:505-542-8202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM015034510083416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM0000R0399Medicaid
NM590049457Medicare ID - Type UnspecifiedRAILROAD MEDICARE PROVIDE
NM2503233Medicare ID - Type UnspecifiedPROVIDER #