Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Johnsonburg Rural Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
MR. BRIAN S KLINE (VP, CFO, AUTHORIZED OFFICIAL)
(814) 375-6377
Entity
Organization
Contact information
Practice address
111 COBB ST, JOHNSONBURG, PA 15845-1209
(814) 965-2857
(814) 965-2523
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-4200
(814) 375-4232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774088
—
PA
Enumeration date
01/26/2012
Last updated
10/31/2018
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