Provider Demographics
NPI:1336412261
Name:HIGHLAND DISTRICT HOSPITAL
Entity Type:Organization
Organization Name:HIGHLAND DISTRICT HOSPITAL
Other - Org Name:GREENFIELD MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RANDAL
Authorized Official - Middle Name:P
Authorized Official - Last Name:LENNARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-840-6575
Mailing Address - Street 1:1275 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-8273
Mailing Address - Country:US
Mailing Address - Phone:937-393-6100
Mailing Address - Fax:937-393-6278
Practice Address - Street 1:1092 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:OH
Practice Address - Zip Code:45123
Practice Address - Country:US
Practice Address - Phone:937-981-1121
Practice Address - Fax:937-981-5660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-23
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health