Provider Demographics
NPI:1225053119
Name:HIGHLAND DISTRICT HOSPITAL
Entity Type:Organization
Organization Name:HIGHLAND DISTRICT HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:R
Authorized Official - Last Name:PARRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-393-6324
Mailing Address - Street 1:1275 NORTH HIGH STREET
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-5200
Mailing Address - Country:US
Mailing Address - Phone:937-393-6100
Mailing Address - Fax:937-393-6229
Practice Address - Street 1:1275 NORTH HIGH STREET
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133
Practice Address - Country:US
Practice Address - Phone:937-393-6100
Practice Address - Fax:937-393-6229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
282NC0060X, 282NC0060X
OHRN244492364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical AccessGroup - Multi-Specialty
No364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI3601421OtherPALMETTO
000000002724OtherANTHEM HOSPITAL
OH3922778Medicaid
3985131OtherUNITED HEALTH CARE HOSPIT
5020057OtherUNITED HEALTH CARE HOSPIT
OH3922778Medicaid
270526559004OtherMEDMUTUAL MELINK
367653OtherMEDICARE HOMEHEALTH
3985131OtherUNITED HEALTH CARE HOSPIT
HI3601421OtherPALMETTO
000000363681OtherANTHEM AMFAHR
OH0174797Medicaid
OH1235205139OtherPSYCHIATRY
3600435OtherUNITED HEALTH CARE MELINK
000000002723OtherANTHEM HOME HEALTH
000000003401OtherANTHEM HOSPITAL
6000100OtherUNITED HEALTH CARE HOME H
270526559004OtherMEDMUTUAL MELINK
OH3922778Medicaid