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
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2504409
—
OH
Enumeration date
05/01/2006
Last updated
05/05/2014
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