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DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS DUBOIS EAST CAMPUS NPI 1851776397


NPI Information

NPI: 1851776397
Provider Name: DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS DUBOIS EAST CAMPUS

Doing Business As: PENN HIGHLANDS DUBOIS

Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
635 MAPLE AVE
DU BOIS, PA
ZIP 15801
Phone: (814) 371-2200
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DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS DUBOIS EAST CAMPUS is an infectious disease internal medicine in Du Bois, PA. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS DUBOIS EAST CAMPUS NPI is 1851776397. 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:

635 MAPLE AVE
DU BOIS, PA
ZIP 15801-376
Phone: (814) 371-2200
Fax: (814) 375-4232

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

The enumeration date for this NPI number is 7/27/2015 and was last updated on 10/19/2020.


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
2207QA0401XFamily MedicineAddiction MedicineNo
3207R00000XInternal MedicineNo
42083P0011XPreventive MedicineUndersea and Hyperbaric MedicineNo
52083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineNo
6363A00000XPhysician AssistantNo
7363L00000XNurse PractitionerNo
8207RI0200XInternal MedicineInfectious DiseaseYes

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

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