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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 (CHIEF FINANCIAL OFFICER)
(601) 798-4711
Entity
Organization

Contact information

Practice address
801 GOODYEAR BLVD, PICAYUNE, MS 39466-3221
(601) 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
207V00000X
Obstetrics & Gynecology Physician
Primary
19353
MS

Other

Enumeration date
09/28/2011
Last updated
09/28/2011
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