Organization
DUBOIS REG MED CTR - PH DUBOIS PUNXSUTAWNEY COMMUNITY MED BLDG
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
MR. BRIAN S KLINE (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) 371-2200
(814) 375-4232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007740880070
—
PA
Enumeration date
07/27/2015
Last updated
03/02/2016
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