| Highland Health Providers Corp | |
|
1092 Jefferson St Greenfield OH 45123-8319 | |
| (937) 989-1121 | |
| Not Available |
| Full Name | Highland Health Providers Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 1092 Jefferson St, Greenfield, Ohio |
| Authorized Official Name and Position | Karen Shadowens (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9378406617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Health Providers Corp 1487 N High St Ste 102 Hillsboro OH 45133-8496 Ph: () - | Highland Health Providers Corp 1092 Jefferson St Greenfield OH 45123-8319 Ph: (937) 989-1121 |
| NPI Number | 1861994402 |
|---|---|
| Provider Enumeration Date | 02/28/2018 |
| Last Update Date | 02/28/2018 |
| Medicare PECOS PAC ID | 0244257848 |
|---|---|
| Medicare Enrollment ID | O20180419002066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861994402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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