Provider Demographics
NPI:1922277128
Name:RAYMOND K. HINTON M.D.P.C
Entity Type:Organization
Organization Name:RAYMOND K. HINTON M.D.P.C
Other - Org Name:MILL CREEK MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORP. PRES./OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:K
Authorized Official - Last Name:HINTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:435-628-4444
Mailing Address - Street 1:195 W TELEGRAPH ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84780-1675
Mailing Address - Country:US
Mailing Address - Phone:435-628-4444
Mailing Address - Fax:435-628-4447
Practice Address - Street 1:195 W TELEGRAPH ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:UT
Practice Address - Zip Code:84780-1675
Practice Address - Country:US
Practice Address - Phone:435-628-4444
Practice Address - Fax:435-628-4447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT169871-1205261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT528564895011Medicaid
1609978345OtherDR. HINTON'S NPI #
C63584Medicare UPIN