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 BOLLINGER SCHNEIDER (CFO)
(814) 375-6432
Entity
Organization
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 371-2200
(814) 375-4232
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 371-2200
(814) 375-4232
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
208M00000X
Hospitalist Physician
—
—
261Q00000X
Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
135501
PA
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0028
BLUE CROSS PROVIDER #
PA
05
—
1007740880070
—
PA
01
—
390086
PTAN
PA
Enumeration date
07/18/2006
Last updated
05/07/2024
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