Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands Endocrinology
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 101, DU BOIS, PA 15801-1462
(814) 375-4089
(814) 375-4067
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-4089
(814) 385-4067
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000423977
HIGHMARK BLUE CROSS
PA
Enumeration date
08/31/2006
Last updated
02/17/2014
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