Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands DuBois Hospitalists
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
BRIAN S KLINE (VP, CFO, AUTHORIZED OFFICIAL)
(814) 375-6377
Entity
Organization
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801
(814) 371-2200
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-4200
(814) 375-4232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
PA
207R00000X
Internal Medicine Physician
Primary
—
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RI0200X
Infectious Disease Physician
—
PA
207RN0300X
Nephrology Physician
—
PA
207RP1001X
Pulmonary Disease Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
—
PA
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007740880070
—
PA
Enumeration date
09/27/2007
Last updated
10/26/2020
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