Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands DuBois Clearfield Community Medical Bldg, Penn Higlands DuBois Community Medical Building
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
BRIAN S. KLINE (CHIEF FINANCIAL OFFICER)
(814) 375-6377
Entity
Organization
Contact information
Practice address
1900 RIVER RD, CLEARFIELD, PA 16830-6026
(814) 205-1250
(814) 205-1251
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 371-2200
(814) 375-4217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774088-0070
—
PA
Enumeration date
02/09/2016
Last updated
10/23/2017
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