Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands Cardiovascular Thoracic Surgery
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, SUITE 300, DU BOIS, PA 15801-1462
(814) 375-2040
(814) 375-2045
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-2040
(814) 375-2045
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
10/31/2006
Last updated
02/17/2014
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