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Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Other names
DRMC Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN S. SUTIKA (CHIEF FINANCIAL OFFICER)
(814) 375-6104
Entity
Organization
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3300
(814) 375-3396
Mailing address
PO BOX 447, DU BOIS, PA 15801-0447
(814) 375-3300
(814) 375-3396
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
745205
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0871
BLUE CROSS
PA
05
—
1007740880116
—
PA
Enumeration date
08/01/2006
Last updated
08/22/2020
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