HIGHLAND HEALTH PROVIDERS CORP NPI 1861994402

NPI Information

NPI: 1861994402
Provider Name: HIGHLAND HEALTH PROVIDERS CORP
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 36D0722494

Address:
1092 JEFFERSON ST
GREENFIELD, OH
ZIP 45123
Phone: (937) 989-1121
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HIGHLAND HEALTH PROVIDERS CORP is a federally qualified health center (fqhc) clinic center in Greenfield, OH. HIGHLAND HEALTH PROVIDERS CORP NPI is 1861994402. The provider is registered as an organization entity type.

The provider's business location address is:

1092 JEFFERSON ST
GREENFIELD, OH
ZIP 45123-319
Phone: (937) 989-1121

The provider's authorized official is Karen Shadowens .
The authorized official title is Chief Financial Officer and has the following contact phone number (937) 840-6617.

The CLIA number assigned to this NPI record is 36D0722494 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2018 and was last updated on 2/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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