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DUBOIS REGIONAL MED CTR - PENN HIGHLANDS DUBOIS COMMUNITY MEDICAL BLDG NPI 1619352556


NPI Information

NPI: 1619352556
Provider Name: DUBOIS REGIONAL MED CTR - PENN HIGHLANDS DUBOIS COMMUNITY MEDICAL BLDG

Doing Business As: PENN HIGHLANDS DUBOIS

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
621 S MAIN ST
DU BOIS, PA
ZIP 15801
Phone: (814) 371-2200
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DUBOIS REGIONAL MED CTR - PENN HIGHLANDS DUBOIS COMMUNITY MEDICAL BLDG is an internal medicine in Du Bois, PA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DUBOIS REGIONAL MED CTR - PENN HIGHLANDS DUBOIS COMMUNITY MEDICAL BLDG NPI is 1619352556. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Penn Highlands Dubois.

The provider's business location address is:

621 S MAIN ST
DU BOIS, PA
ZIP 15801-413
Phone: (814) 371-2200
Fax: (814) 375-4232

The provider's authorized official is Brian S Kline .
The authorized official title is Vp/cfo and has the following contact phone number (814) 375-6377.

The enumeration date for this NPI number is 7/21/2015 and was last updated on 2/29/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207RG0100XInternal MedicineGastroenterologyNo
3207X00000XOrthopaedic SurgeryNo
4207RR0500XInternal MedicineRheumatologyNo
5207RP1001XInternal MedicinePulmonary DiseaseNo
6207RC0200XInternal MedicineCritical Care MedicineNo
7207RS0012XInternal MedicineSleep MedicineNo
8363L00000XNurse PractitionerNo
9363A00000XPhysician AssistantNo
10207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11007740880070MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.