Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands Dubois Family Medicine-Mendez
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
BRIAN S KLINE (AUTHORIZED OFFICIAL, VP, & CFO)
(814) 375-6377
Entity
Organization
Contact information
Practice address
465 STATE ST, CURWENSVILLE, PA 16833-1240
(814) 236-1123
(814) 236-2172
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 236-1123
(814) 236-2172
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000749076
HIGHMARK BLUE CROSS
PA
05
—
1007740880085
—
PA
Enumeration date
08/11/2006
Last updated
04/08/2016
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