Organization
DUBOIS REGIONAL MEDICAL CENTER
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 S KLINE (CFO)
(814) 375-6377
Entity
Organization
Contact information
Practice address
145 HOSPITAL AVE STE 105, DU BOIS, PA 15801-1463
(814) 375-3890
(814) 375-3893
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-6183
(814) 372-2718
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN002090
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3093208
HIGHMARK ASSIGNMENT ACCOUNT
PA
Enumeration date
10/08/2014
Last updated
08/08/2017
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