Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands DuBois Pediatrics & Neonatology
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
BRIAN S KLINE (VP & CFO)
(814) 375-6377
Entity
Organization
Contact information
Practice address
100 HOSPITAL AVE, NEONATAL INTENSIVE CARE UNIT, DU BOIS, PA 15801-1440
(814) 375-6428
(814) 375-6759
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-6428
(814) 375-6759
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001873102
HIGHMARK
PA
Enumeration date
07/06/2007
Last updated
05/25/2022
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