Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands DuBois Cricklewood Bldg
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
BRIAN S KLINE (CFO/AUTHORIZED OFFICIAL)
(814) 375-6377
Entity
Organization
Contact information
Practice address
1008 S 5TH AVE, CLARION, PA 16214
(814) 375-3770
(814) 375-3772
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-6560
(814) 375-2848
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
PA
207RP1001X
Pulmonary Disease Physician
—
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
PA
207W00000X
Ophthalmology Physician
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007740880070
—
PA
Enumeration date
07/02/2013
Last updated
07/11/2018
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