Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands Family Medicine - Austin & Maloney
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
MR. BRIAN S KLINE (VP & CFO)
(814) 375-6377
Entity
Organization
Contact information
Practice address
145 HOSPITAL AVE, SUITE 313, DU BOIS, PA 15801-1462
(814) 375-3912
(814) 375-5258
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3912
(814) 375-5258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000866024
BLUE CROSS
PA
05
—
1007740880081
—
PA
Enumeration date
08/07/2006
Last updated
02/17/2014
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