Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Other names
DuBois Regional Medical Center - Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S. SUTIKA (CHIEF FINANCIAL OFFICER)
(814) 375-6104
Entity
Organization
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 371-2200
(814) 375-4232
Mailing address
PO BOX 447, DU BOIS, PA 15801-0447
(814) 371-2200
(814) 375-4232
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
135501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007740880102
—
PA
01
—
1042
BLUE CROSS PROVIDER #
PA
Enumeration date
07/21/2006
Last updated
08/22/2020
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