NPIMap

Organization Active NPI

Highland District Hospital Professional Services Corporation

  • Rural Health Clinic/Center
  • Hillsboro, OH
National Provider Identifier
1306803440
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HIGHLAND DISTRICT HOSPITAL PROFESSIONAL SERVICES CORPORATION
Practice address
1402 N High St
Hillsboro, OH 45133-8514
Phone
(937) 393-4899
Fax
(937) 393-4996
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Authorized official

Name
Tracy Coomer
Title
VP of Professional Services
Phone
(937) 393-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1402 N High St
Hillsboro, OH 45133-8514

Mailing address

PO Box 70
1404 North High Street
Hillsboro, OH 45133
Phone (937) 393-1129

Other identifiers 1

IdentifierTypeStateIssuer
2355062MedicaidOH

Other names 1

  • Highland Family Healthcare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1306803440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "address_2": "1404 NORTH HIGH STREET",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "45133",
            "telephone_number": "937-393-1129",
            "fax_number": "937-393-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 N HIGH ST",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338514",
            "telephone_number": "937-393-4899",
            "fax_number": "937-393-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND DISTRICT HOSPITAL PROFESSIONAL SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "COOMER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "VP OF PROFESSIONAL SERVICES",
        "authorized_official_telephone_number": "937-393-6100"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2355062",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.