Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Other names
DRMC Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN S. SUTIKA (CHIEF FINANCIAL OFFICER)
(814) 375-6104
Entity
Organization
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3300
(814) 375-3396
Mailing address
PO BOX 447, DU BOIS, PA 15801-0447
(814) 375-3300
(814) 375-3396
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
155599
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007740880013
—
PA
01
—
1260
BLUE CROSS
PA
Enumeration date
07/26/2006
Last updated
08/22/2020
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