Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands Ophthalmology, Penn HIghlands Eye Center
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
529 SUNFLOWER DR, DU BOIS, PA 15801-2378
(814) 371-2390
(814) 371-9532
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 371-2390
(814) 371-9532
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774088
—
PA
01
—
140462
PTAN
—
Enumeration date
10/01/2008
Last updated
07/29/2019
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