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NPI Code Detail

MEDICARE: DR. HILTON C. RAY MD

MEDICARE: DR. HILTON C. RAY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianDR28959CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00174756OTHERCORAILROAD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568464618
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HILTON C. RAY MD
Provider Business Mailing Address
First Line : 403 KENDALL DR
Second Line :
City : LAMAR
State : CO
Zip : 81052-3953
Country : US
Telephone Number : 719-336-6767
Fax Number : 719-336-7217
Provider Business Practice Location Address
First Line : 403 KENDALL DR
Second Line :
City : LAMAR
State : CO
Zip : 81052-3953
Country : US
Telephone Number : 719-336-6767
Fax Number : 719-336-7217
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 06/29/2021

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Directions to “ DR. HILTON C. RAY MD” Practice Location

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