Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands DuBois
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
MR. JOHN S SUTIKA (PRESIDENT)
(814) 375-3385
Entity
Organization
Contact information
Practice address
100 HOSPITAL AVE, BILLING DEPARTMENT, DU BOIS, PA 15801-1440
(814) 375-3033
(814) 372-2613
Mailing address
100 HOSPITAL AVE, BILLING DEPARTMENT, DU BOIS, PA 15801-1440
(814) 375-3033
(814) 372-2613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002627757
HIGHMARK ASSIGNMENT ACCOUNT
—
05
—
1007740880070
—
PA
05
—
1007740880076
—
PA
Enumeration date
04/06/2011
Last updated
03/20/2015
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