Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands Gastroenterology, Penn Highlands Gastroenterology
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
621 S MAIN ST, DU BOIS, PA 15801-1413
(814) 371-0600
(814) 372-4764
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 371-0600
(814) 372-4764
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001312434
HIGHMARK BLUE CROSS
PA
Enumeration date
09/20/2006
Last updated
07/21/2022
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