Organization
HIGHLAND DISTRICT HOSPITAL PROFESSIONAL SERVICES CORPORATION
Active
Other names
Greenfield Medical Services HDH PSC
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY COOMER (VP OF PROFESSIONAL SERVICES)
(937) 393-6100
Entity
Organization
Contact information
Practice address
1092 JEFFERSON ST, GREENFIELD, OH 45123-8319
(937) 981-1121
(937) 981-5660
Mailing address
1275 N HIGH ST, HILLSBORO, OH 45133-8273
(937) 393-6100
(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
—
2355053
—
OH
Enumeration date
05/01/2006
Last updated
02/09/2017
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