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Organization

DUBOIS REGIONAL MEDICAL CENTER

Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands DuBois Family Medicine, Penn Highlands DuBois
Organization subpart
Yes

Provider details

NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
BRIAN S KLINE (VP/AUTHORIZED OFFICIAL)
(814) 375-6377
Entity
Organization

Contact information

Practice address
761 JOHNSONBURG RD STE 130, SAINT MARYS, PA 15857-3480
(814) 788-8220
(814) 788-8219
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
261Q00000X
Clinic/Center
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
07/19/2021
Last updated
07/19/2021
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