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Organization

DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS DUBOIS MEDICAL ARTS

Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Pennn Highlands DuBois
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
145 HOSPITAL AVE, DU BOIS, PA 15801-1462
(814) 371-2200
(814) 372-4232
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 371-2200

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
207Q00000X
Family Medicine Physician
207QS0010X
Sports Medicine (Family Medicine) Physician
207R00000X
Internal Medicine Physician
Primary
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207X00000X
Orthopaedic Surgery Physician
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
2084N0400X
Neurology Physician
208600000X
Surgery Physician
208800000X
Urology Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007740880070
PA
Enumeration date
08/20/2015
Last updated
04/04/2017
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