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Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands DuBois
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
HEATHER SCHNEIDER (CHIEF FINANCIAL OFFICER)
(814) 375-6432
Entity
Organization
Contact information
Practice address
635 MAPLE AVE, DU BOIS, PA 15801-2376
(814) 375-6351
(814) 372-2682
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-6351
(814) 372-2682
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
135501
PA
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0909
BLUE CROSS PROVIDER #
PA
05
—
1007740880101
—
PA
Enumeration date
07/19/2006
Last updated
04/17/2024
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