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DUBOIS REGIONAL MEDICAL CENTER NPI 1679584742


NPI Information

NPI: 1679584742
Provider Name: DUBOIS REGIONAL MEDICAL CENTER

Other Name: PENN HIGHLANDS INTERNAL MEDICINE - GRAECA & KRUK

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
145 HOSPITAL AVE
SUITE 215
DU BOIS, PA
ZIP 15801
Phone: (814) 371-1717
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DUBOIS REGIONAL MEDICAL CENTER 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 MEDICAL CENTER NPI is 1679584742. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Penn Highlands Internal Medicine - Graeca & Kruk.

The provider's business location address is:

145 HOSPITAL AVE
SUITE 215
DU BOIS, PA
ZIP 15801-462
Phone: (814) 371-1717
Fax: (814) 375-4422

The provider's authorized official is Heather Bollinger Schneider .
The authorized official title is Cfo and has the following contact phone number (814) 375-6432.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 9/8/2023.


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
2207QG0300XFamily MedicineGeriatric MedicineNo
3207RG0300XInternal MedicineGeriatric MedicineNo
4207R00000XInternal 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
1089128OTHERPENNSYLVANIAMC PTAN
2000423079OTHERPENNSYLVANIAHIGHMARK BLUE CROSS
3100774088-0225MEDICAIDPENNSYLVANIA

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

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