Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands DuBois EKG Cardiology FPA
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
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3273
(814) 375-3395
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3273
(814) 375-3395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001627556
BLUE CROSS/BLUE SHIELD
PA
05
—
1007740880070
—
PA
Enumeration date
09/25/2006
Last updated
02/17/2014
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