Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands Family Medicine - Donahue & Kiskaddon
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
100 MEADOW LN, SUITE 4, DU BOIS, PA 15801-2460
(814) 371-3730
(814) 371-9335
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 371-3730
(814) 371-9335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007740880095
—
PA
Enumeration date
09/08/2006
Last updated
02/17/2014
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