Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
PENN HIGHLANDS DUBOIS RADIOLOGY/RADIATION ONCOLOGY, Penn Highlands DuBois
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
JOURDAN STRISHOCK (DIRECTOR)
(814) 375-6160
Entity
Organization
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-2100
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-4200
(814) 375-4232
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
PA
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096385
PTAN
—
05
—
1007740880070
—
PA
Enumeration date
09/20/2006
Last updated
05/07/2024
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