Basic Information
| Provider Information | |||||||||
| NPI: | 1225053119 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | HIGHLAND DISTRICT HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1275 NORTH HIGH STREET | ||||||||
| Address2: | |||||||||
| City: | HILLSBORO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 451335200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9373936100 | ||||||||
| FaxNumber: | 9373936229 | ||||||||
| Practice Location | |||||||||
| Address1: | 1275 NORTH HIGH STREET | ||||||||
| Address2: | |||||||||
| City: | HILLSBORO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 45133 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9373936100 | ||||||||
| FaxNumber: | 9373936229 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2006 | ||||||||
| LastUpdateDate: | 05/23/2022 | ||||||||
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| AuthorizedOfficialLastName: | PARRY | ||||||||
| AuthorizedOfficialFirstName: | TIMOTHY | ||||||||
| AuthorizedOfficialMiddleName: | R | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 9373936324 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 05/23/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282NC0060X | Y | Hospitals | General Acute Care Hospital | Critical Access |
ID Information
| ID | Type | State | Issuer | Description | HI3601421 | 01 | PALMETTO | OTHER | 000000002724 | 01 | ANTHEM HOSPITAL | OTHER | 3922778 | 05 | OH | MEDICAID | 3985131 | 01 | UNITED HEALTH CARE HOSPIT | OTHER | 5020057 | 01 | UNITED HEALTH CARE HOSPIT | OTHER |