Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands Interventional Pain Center, Penn Highlands DuBois
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
HEATHER B SCHNEIDER (CFO/AUTH OFFICIAL)
(814) 375-6432
Entity
Organization
Contact information
Practice address
761 JOHNSONBURG RD STE 310, SAINT MARYS, PA 15857-3480
(814) 788-8577
(814) 788-8541
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-6560
(814) 375-2848
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
PA
208100000X
Physical Medicine & Rehabilitation Physician
—
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
PA
208VP0000X
Pain Medicine Physician
—
PA
208VP0014X
Interventional Pain Medicine Physician
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
535960
MC PTAN
PA
Enumeration date
09/14/2016
Last updated
11/29/2022
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