Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands Integrated Recovery Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
MS. HEATHER SCHNEIDER (VP & CFO)
(814) 375-6432
Entity
Organization
Contact information
Practice address
635 MAPLE AVE, DU BOIS, PA 15801
(814) 375-8055
(814) 375-8056
Mailing address
100 HOSPITAL AVENUE, DU BOIS, PA 15801-1440
(814) 375-4200
(814) 372-4230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
PA
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007740880070
—
PA
Enumeration date
10/04/2010
Last updated
01/12/2023
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