Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands OB/Gyn
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
123 HOSPITAL AVE, DUBOIS, PA 15801
(814) 371-1900
(814) 503-8568
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-4200
(814) 375-4232
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
PA
207VM0101X
Maternal & Fetal Medicine Physician
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001672643
HIGHMARK BLUE CROSS
PA
05
—
100774088
—
PA
Enumeration date
08/31/2006
Last updated
06/09/2022
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