Organization
DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS FAMILY MEDICINE
Active
Parent organization
PENN HIGHALNDS HEALTHCARE
Other names
Penn Highlands DuBois
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHALNDS HEALTHCARE
Authorized official
BRIAN KLINE (CFO)
(814) 375-6377
Entity
Organization
Contact information
Practice address
145 HOSPITAL AVE, SUITE 205, DU BOIS, PA 15801-1462
(814) 371-0373
Mailing address
100 HOSPITAL AVE, BUSINESS OFFICE, DU BOIS, PA 15801-1440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774088
—
PA
Enumeration date
07/24/2015
Last updated
08/25/2015
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