Provider Demographics
NPI:1215563432
Name:NORTH HIGH FAMILY & ACUTE CARE, LLC
Entity Type:Organization
Organization Name:NORTH HIGH FAMILY & ACUTE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C, MPAS
Authorized Official - Phone:937-402-5249
Mailing Address - Street 1:902 N HIGH ST STE B
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-8501
Mailing Address - Country:US
Mailing Address - Phone:937-402-5249
Mailing Address - Fax:937-949-2791
Practice Address - Street 1:902 N HIGH ST STE B
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-8501
Practice Address - Country:US
Practice Address - Phone:937-402-5249
Practice Address - Fax:937-949-2791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care