Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands DuBois Q-Care
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
621 S MAIN ST, DU BOIS, PA 15801-1413
(814) 299-7520
(814) 375-4232
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-4200
(814) 375-4217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
207R00000X
Internal Medicine Physician
—
PA
363A00000X
Physician Assistant
—
PA
363L00000X
Nurse Practitioner
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106218
PTAN
PA
Enumeration date
08/21/2006
Last updated
03/02/2016
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