Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands Family Medicine Punxsutawney Community Bldg
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
BRIAN S KLINE (AUTHORIZED OFFICIAL, VP & CFO)
(814) 375-6377
Entity
Organization
Contact information
Practice address
551 W MAHONING ST, PUNXSUTAWNEY, PA 15767-1909
(814) 371-2200
(814) 375-4232
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 249-7004
(814) 249-7018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774088
—
PA
Enumeration date
04/20/2016
Last updated
05/02/2016
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