Provider Demographics
NPI:1235699984
Name:HILMER, AUGUSTUS (MASTERS)
Entity Type:Individual
Prefix:MR
First Name:AUGUSTUS
Middle Name:
Last Name:HILMER
Suffix:
Gender:M
Credentials:MASTERS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 UNION ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-4250
Mailing Address - Country:US
Mailing Address - Phone:603-410-7533
Mailing Address - Fax:
Practice Address - Street 1:27 HOLY CROSS RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NH
Practice Address - Zip Code:03235-1910
Practice Address - Country:US
Practice Address - Phone:603-263-9428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1720151830Medicaid