Provider Demographics
NPI:1770515157
Name:HIGHLAND HEALTH SYSTEMS
Entity type:Organization
Organization Name:HIGHLAND HEALTH SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICKEY
Authorized Official - Middle Name:S
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:256-236-3403
Mailing Address - Street 1:PO BOX 2205
Mailing Address - Street 2:331 E 8TH ST
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36202-2205
Mailing Address - Country:US
Mailing Address - Phone:256-236-3403
Mailing Address - Fax:256-238-6263
Practice Address - Street 1:331 E 8TH ST
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207
Practice Address - Country:US
Practice Address - Phone:256-236-3403
Practice Address - Fax:256-238-6263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2015-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL330034002Medicaid
AL330000002Medicaid
AL51008109OtherPPO (BLUE CROSS)
AL591500007Medicaid
AL590000002Medicaid
AL6290016OtherALL-KIDS
AL330000002Medicaid
AL330034002Medicaid
AL591500007Medicaid
AL014649Medicare ID - Type UnspecifiedHEFLIN CLINIC
AL=========Medicare ID - Type Unspecified
AL330034002Medicaid