Provider Demographics
NPI:1275887499
Name:HIGHLAND COMMUNITY HOSPITAL PHYSICIANS
Entity Type:Organization
Organization Name:HIGHLAND COMMUNITY HOSPITAL PHYSICIANS
Other - Org Name:HIGHLAND COMMUNITY HOSPITAL PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF REVENUE SYSTEMS
Authorized Official - Prefix:
Authorized Official - First Name:SHEREE
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-288-1890
Mailing Address - Street 1:146 HIGHLAND PKWY
Mailing Address - Street 2:
Mailing Address - City:PICAYUNE
Mailing Address - State:MS
Mailing Address - Zip Code:39466-5575
Mailing Address - Country:US
Mailing Address - Phone:601-358-9400
Mailing Address - Fax:601-358-9421
Practice Address - Street 1:146 HIGHLAND PARKWAY
Practice Address - Street 2:
Practice Address - City:PICAYUNE
Practice Address - State:MS
Practice Address - Zip Code:39466-5574
Practice Address - Country:US
Practice Address - Phone:601-358-9400
Practice Address - Fax:601-358-9421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-09
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty
No208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty