NPIMap

Organization Active NPI

Highland Health Providers Corp

  • Federally Qualified Health Center (FQHC)
  • Lynchburg, OH
National Provider Identifier
1952803595
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HIGHLAND HEALTH PROVIDERS CORP
Practice address
8900 State Route 134
Lynchburg, OH 45142-9272
Phone
(937) 364-2346
NPI assigned
Feb 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Authorized official

Name
Karen Shadowens
Title
Chief Financial Officer
Phone
(937) 840-6617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

8900 State Route 134
Lynchburg, OH 45142-9272

Mailing address

1487 N High St Ste 102
Hillsboro, OH 45133-8496
Phone (937) 840-6617

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180419002600 OH Part A Provider - Federally Qualified Health Center (FQHC) 0244257848 Practice locations: Lynchburg, OH

Federally qualified health center certification: CCN 361161

Legal name
HIGHLAND HEALTH PROVIDERS CORP
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 5, 2018
Last certification
Apr 5, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 6, 2001 in OH
Enrollment address
8900 State Route 134
Lynchburg, OH 45142-9272

Other NPIs with the same Medicare PAC ID 5

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0970853Highland Health Providers8900 State Route 134, Lynchburg, OH 45142Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
PFW Professional Servic8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Twana Zimmerman Individual Corporate DirectorBoard Member Sep 25, 2019
Elizabeth McNeal Individual Corporate DirectorBoard Member Jan 29, 2025
Tammy Wood Individual Corporate DirectorExecutive Director Jan 10, 2023
Meghann Ackley Individual Contracted Managing EmployeeCfo Oct 1, 2018
Timothy R Parry Individual Corporate DirectorBoard Member Jul 27, 2022
Denise Mootz Individual Corporate DirectorBoard Member Jan 29, 2025
India Chrisman Williams Individual Corporate OfficerBoard President Mar 1, 2018
Yolanda Moorman Individual Corporate OfficerBoard Vice-President Feb 27, 2019
Bobbie Sampson Individual Corporate DirectorBoard Member Mar 31, 2021
Jared M Warner Individual Corporate DirectorBoard Member Mar 28, 2018
Elizabeth B Miller Individual Corporate DirectorBoard Member Mar 1, 2018
Peggy Walker Rector Individual Corporate DirectorBoard Member Mar 1, 2018
Bryan Adam Smith Individual Corporate DirectorBoard Member Aug 31, 2022
Robert L Smith Individual Corporate OfficerBoard Secretary Mar 1, 2018

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1952803595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1487 N HIGH ST STE 102",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338496",
            "telephone_number": "937-840-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 STATE ROUTE 134",
            "city": "LYNCHBURG",
            "state": "OH",
            "postal_code": "451429272",
            "telephone_number": "937-364-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND HEALTH PROVIDERS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "SHADOWENS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "937-840-6617"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, OH

Sources for this page

Verify at the official NPI Registry.