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Organization
HIGHLAND DISTRICT HOSPITAL PROFESSIONAL SERVICES CORPORATION
Active
Organization
HIGHLAND DISTRICT HOSPITAL PROFESSIONAL SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY COOMER (VP, PROFESSIONAL SERVICES)
(937) 393-6101
Entity
Organization
Contact information
Practice address
1275 N HIGH ST, HILLSBORO, OH 45133-8273
(937) 393-6101
(937) 393-6278
Mailing address
PO BOX 637735, CINCINNATI, OH 45263-7735
(937) 393-6101
(937) 393-6278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/01/2006
Last updated
05/05/2014
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