Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands Family Medicine - Kozloski & Usaitis
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
145 HOSPITAL AVE STE 205, DU BOIS, PA 15801-1464
(814) 375-3911
(814) 375-4424
Mailing address
100 HOSPITAL AVENUE, DUBOIS, PA 15801-1440
(814) 375-4200
(814) 375-4232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774088-0070
—
PA
Enumeration date
10/07/2008
Last updated
11/03/2017
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