MEDICARE: HIGHLAND HEALTH PROVIDERS CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1861994402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGHLAND HEALTH PROVIDERS CORP

Provider Business Mailing Address
First Line	:	1487 N HIGH ST STE 102
Second Line	:
City	:	HILLSBORO
State	:	OH
Zip	:	45133-8496
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1092 JEFFERSON ST
Second Line	:
City	:	GREENFIELD
State	:	OH
Zip	:	45123-8319
Country	:	US
Telephone Number	:	937-989-1121
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MEGHANN ACKLEY
Credential	:
Telephone Number	:	937-840-6617

Provider Enumeration Date	:	02/28/2018
Last Update Date	:	06/23/2025

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