| Hilton C Ray Mdpc | |
|
109 Lee Ave Suite15 Lamar CO 81052-3717 | |
| (719) 336-9115 | |
| Not Available |
| Full Name | Hilton C Ray Mdpc |
|---|---|
| Speciality | Family Medicine |
| Location | 109 Lee Ave, Lamar, Colorado |
| Authorized Official Name and Position | Hilton C Ray (PRESIDENT) |
| Authorized Official Contact | 7193369115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hilton C Ray Mdpc 109 Lee Ave Suite15 Lamar CO 81052-3717 Ph: (719) 336-9115 | Hilton C Ray Mdpc 109 Lee Ave Suite15 Lamar CO 81052-3717 Ph: (719) 336-9115 |
| NPI Number | 1629016548 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 10/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629016548 | NPI | - | NPPES |
| 27527310 | Medicaid | CO | |
| DB5771 | Other | CO | RAILROAD MEDICARE |
| HI40452 | Other | CO | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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