Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands Cardiology
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
1464 N MAIN ST, SUITE 14 STATION SQUARE, PUNXSUTAWNEY, PA 15767-2609
(814) 938-1593
(814) 938-1597
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 938-1593
(814) 938-1597
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000369111
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
10/04/2006
Last updated
02/17/2014
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