Organization
HIGHLAND DISTRICT HOSPITAL PROFESSIONAL SERVICES CORPORATION
Active
Other names
Highland Family Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY COOMER (VP OF PROFESSIONAL SERVICES)
(937) 393-6100
Entity
Organization
Contact information
Practice address
1402 N HIGH ST, HILLSBORO, OH 45133-8514
(937) 393-4899
(937) 393-4996
Mailing address
PO BOX 70, 1404 NORTH HIGH STREET, HILLSBORO, OH 45133
(937) 393-1129
(937) 393-1658
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2355062
—
OH
Enumeration date
05/01/2006
Last updated
08/15/2011
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