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Organization

DUBOIS REGIONAL MEDICAL CENTER

Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands DuBois, Penn Highlands Pulmonology Critical Care & Sleep Medicine, Penn Highlands Pediatric Pulmonology, Penn Highlands Lung Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
MR. BRIAN S KLINE (CFO)
(814) 375-6377
Entity
Organization

Contact information

Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3770
(814) 375-3772
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-4200
(814) 375-4232

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RP1001X
Pulmonary Disease Physician
Primary
207RS0012X
Sleep Medicine (Internal Medicine) Physician
2080P0214X
Pediatric Pulmonology Physician
208600000X
Surgery Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100774088
PA
01
138758
PTAN
PA
Enumeration date
07/03/2008
Last updated
03/20/2025
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