Henry K Hillman, MD
Individual provider Active NPI General Practice Physician · Cimarron, NM
NPI 1235224403 · NPPES record last updated Jul 16, 2008
Key facts
- NPI
- 1235224403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 9049 (NM)
- Practice address
- 9TH and Washington BLDG 356 C
Cimarron Health Care Clinic
Cimarron, NM 87714 - Phone
- (505) 376-2402
- Fax
- (505) 376-2107
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9049 | NM | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 9049 | NM | Yes |
Addresses
Primary practice location
9TH and Washington BLDG 356 C
Cimarron Health Care Clinic
Cimarron, NM 87714
Mailing address
PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-5356
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6931 | Medicaid | NM |
Other providers in Cimarron, NM
- Tiffany Arnold
- Loretta Lucy Brazil
- Cimarron Home Health
- Adrian Esquivel
- Alison Gagnon
- Abbie L Laursen
- Presbyterian Healthcare Services
- Melissa Smith
- South Central Colfax County Hospital District
- Sunrise Clinics
All providers in Cimarron, NM · General Practice Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.