Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands Family Medicine River Rd Clfd
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
1900 RIVER RD, CLEARFIELD, PA 16830-6026
(814) 205-1252
(814) 372-2848
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-6560
(814) 372-2848
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007740880070
—
PA
01
—
106218
GROUP MC
PA
Enumeration date
08/02/2018
Last updated
08/02/2018
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