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DUBOIS REGIONAL MEDICAL CENTER NPI 1144231390


NPI Information

NPI: 1144231390
Provider Name: DUBOIS REGIONAL MEDICAL CENTER

Doing Business As: PENN HIGHLANDS FAMILY MEDICINE - SCOTT

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 39D2101722

Address:
1200 WOOD ST
BROCKWAY, PA
ZIP 15824
Phone: (814) 265-8636
Get Directions

DUBOIS REGIONAL MEDICAL CENTER is a family medicine in Brockway, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DUBOIS REGIONAL MEDICAL CENTER NPI is 1144231390. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Penn Highlands Family Medicine - Scott.

The provider's business location address is:

1200 WOOD ST
BROCKWAY, PA
ZIP 15824-118
Phone: (814) 265-8636
Fax: (814) 265-8536

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 CLIA number assigned to this NPI record is 39D2101722 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 2/17/2014.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11007740880082MEDICAIDPENNSYLVANIA
2000906763OTHERPENNSYLVANIAHIGHMARK BLUE CROSS

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: 5/5/2024

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