Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands Pediatrics, 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
123 HOSPITAL AVE, DUBOIS, PA 15801
(814) 371-1510
(814) 371-2922
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774088
—
PA
Enumeration date
08/24/2015
Last updated
05/25/2022
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