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Organization

DUBOIS REGIONAL MEDICAL CENTER

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

Provider details

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

Contact information

Practice address
145 HOSPITAL AVE STE 105, DU BOIS, PA 15801-1463
(814) 375-3890
(814) 375-3893
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-4200
(814) 375-4232

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
133V00000X
Registered Dietitian
Primary
163W00000X
Registered Nurse

Other

Enumeration date
11/08/2018
Last updated
11/08/2018
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