Highland District Hospital Professional Services Corporation

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

HIGHLAND DISTRICT HOSPITAL PROFESSIONAL SERVICES CORPORATION

Doing business as

Greenfield Medical Services HDH PSC

Practice address

1092 Jefferson St
Greenfield, OH 45123-8319

Phone

(937) 981-1121

Fax

(937) 981-5660

NPI assigned

May 1, 2006

Last updated

Feb 9, 2017By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Greenfield Medical Services HDH PSC Doing business as

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1497712533",
    "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": "937-393-6100",
            "fax_number": "937-393-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 JEFFERSON ST",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "451238319",
            "telephone_number": "937-981-1121",
            "fax_number": "937-981-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND DISTRICT HOSPITAL PROFESSIONAL SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2017-02-09",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2355053",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenfield Medical Services HDH PSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• HC SNF LLC (Hearth & Care of Greenfield)
• Hearth & Care of Greenfield LLC
• Jessica Hicks
• Highland County Community Action Organization
• Highland District Hospital (Greenfield Medical Services)
• Highland Health Providers Corp
• Kenadi Hillyard
• Bryson Holbert
• Brandy Lee Holt
• Vicki Lynne Holt, LPN

• Rural Health Clinic/Center in Greenfield, OH
• Providers in Greenfield, OH by specialty
• Rural Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.