# HIGHLAND DISTRICT HOSPITAL PROFESSIONAL SERVICES CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205893351
- **Authorized official:** TRACY COOMER (VP, PROFESSIONAL SERVICES)
- **Authorized official phone:** (937) 393-6101

## Contact information

- **Practice address:** 1275 N HIGH ST, HILLSBORO, OH 45133-8273
- **Practice address phone:** (937) 393-6101
- **Practice address fax:** (937) 393-6278
- **Mailing address:** PO BOX 637735, CINCINNATI, OH 45263-7735
- **Mailing address phone:** (937) 393-6101
- **Mailing address fax:** (937) 393-6278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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