Organization
HIGHLAND COMMUNITY CLINIC NETWORK
Active
Parent organization
HIGHLAND COMMUNITY HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
HIGHLAND COMMUNITY HOSPITAL
Authorized official
MR. BRYAN N. STEVENS CPA, FHFMA (CFO)
(601) 749-3121
Entity
Organization
Contact information
Practice address
801 GOODYEAR BLVD, PICAYUNE, MS 39466-3221
(985) 726-2655
(985) 643-9808
Mailing address
1375 CORPORATE SQUARE DR, SLIDELL, LA 70458-3147
(985) 726-2655
(985) 643-9808
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
19353
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03900238
—
MS
05
—
2112015
—
LA
01
—
DP4385
RAILROAD MCARE
—
Enumeration date
07/30/2009
Last updated
09/27/2011
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