Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands DuBois, Penn Highlands Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
HEATHER BOLLINGER SCHNEIDER (CFO/AUTHORIZED OFFICIAL)
(814) 375-6432
Entity
Organization
Contact information
Practice address
123 HOSPITAL AVE, DUBOIS, PA 15801
(814) 371-1510
(814) 371-2922
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-6560
(814) 372-2848
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007740880070
—
PA
01
—
3069153
HIGHMARK ASSIGNMENT ACCOUNT
PA
Enumeration date
07/09/2014
Last updated
08/16/2022
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