Organization
DRMC - PENN HIGHLANDS INTERNAL MED CLEARFIELD 93390
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands DuBois
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
BRIAN KLINE (CFO)
(814) 375-6377
Entity
Organization
Contact information
Practice address
531C HANNAH ST, CLEARFIELD, PA 16830-1209
(814) 765-4786
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100744088
—
PA
Enumeration date
07/23/2015
Last updated
08/31/2015
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