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Organization Active NPI

Highland District Hospital

Doing business as Highland District Hospital Swing Bed Unit

  • Medicare Defined Swing Bed Hospital Unit
  • Hillsboro, OH
National Provider Identifier
1154699031
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
HIGHLAND DISTRICT HOSPITAL
Doing business as
Highland District Hospital Swing Bed Unit
Practice address
1275 N High St
Hillsboro, OH 45133-8273
Phone
(937) 840-6575
Fax
(937) 393-6278
NPI assigned
Dec 7, 2011
Last updated
May 23, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
HIGHLAND DISTRICT HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Timothy R Parry
Title
Ceo
Phone
(937) 840-6324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

1275 N High St
Hillsboro, OH 45133-8273

Mailing address

1275 N High St
Hillsboro, OH 45133-8273
Phone (937) 840-6575

Other names 1

  • Highland District Hospital Swing Bed Unit Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220804003097 OH Part A Provider - Critical Access Hospital 0941191167 Practice locations: Hillsboro, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154699031. Details of each certification follow.

Hospital certification: CCN 36Z332

Legal name
HIGHLAND DISTRICT HOSPITAL
Doing business as
HIGHLAND DISTRICT HOSPITAL SWING BED UNIT
Organization structure
OtherNon-profit
Enrollment address
1275 N High St
Hillsboro, OH 45133-8273
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Highland District Hosp

Locations

1108 Northview Dr
Hillsboro, OH 45133
Phone (937) 393-5781

1108 Northview Dr
Ste 4
Hillsboro, OH 45133
Phone (937) 393-6163

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Erica Hurless Miller Individual Corporate DirectorBoard Member Mar 13, 2013
Phillip Wilson Individual Corporate DirectorBoard Member Mar 10, 2021
David J Gunderman Individual Corporate DirectorBoard Member Mar 1, 1997
Meghann Ackley Individual Corporate OfficerVP of Finance Sep 17, 2018
W-2 Managing EmployeeVP of Finance Sep 17, 2018
Timothy R Parry Individual Corporate OfficerPresident and Ceo Apr 18, 2022
W-2 Managing EmployeePresident and Ceo Apr 18, 2022
James Phillips Individual Corporate DirectorBoard Member Jul 1, 1982
Brett Allen Barton Individual Corporate DirectorBoard Member Mar 11, 2015
John T Boler Individual Corporate DirectorBoard Member Mar 12, 2014
Barbara Yochum Individual Corporate DirectorBoard President Mar 12, 2008
John Setty Individual Corporate DirectorBoard Member Mar 10, 2021
Lawrence Burns Individual Corporate DirectorBoard Vice President Aug 3, 2006
Randy Allen Mustard Individual Corporate DirectorBoard Member Mar 11, 2015
Robert Matison Pumpelly Individual Corporate DirectorBoard Member Mar 11, 2015
Thomas Black Individual Corporate DirectorBoard Secretary Aug 3, 2006
William Edenfield Individual Corporate DirectorBoard Member Mar 14, 2007
Rindy L Matthews Individual Corporate DirectorBoard Member Mar 10, 2021
Robert D McCray Individual Corporate DirectorBoard Member Mar 12, 2014
Elizabeth B Miller Individual Corporate DirectorBoard Member Mar 14, 2007
Debra M Campbell Individual Corporate DirectorBoard Member Mar 12, 2014

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Highland District HospitalHillsboro, OH, CCN 361332 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1154699031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 N HIGH ST",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338273",
            "telephone_number": "937-840-6575",
            "fax_number": "937-393-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 N HIGH ST",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338273",
            "telephone_number": "937-840-6575",
            "fax_number": "937-393-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND DISTRICT HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIGHLAND DISTRICT HOSPITAL",
        "enumeration_date": "2011-12-07",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "PARRY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-840-6324",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland District Hospital Swing Bed Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Highland District Hospital Swing Bed Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, OH

Sources for this page

Verify at the official NPI Registry.