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DUBOIS REGIONAL MEDICAL CENTER NPI 1780125062


NPI Information

NPI: 1780125062
Provider Name: DUBOIS REGIONAL MEDICAL CENTER

Doing Business As: PENN HIGHLANDS CONCUSSION CLINIC

Classification: Family Medicine - 207QS0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
145 HOSPITAL AVE
SUITE 312
DU BOIS, PA
ZIP 15801
Phone: (814) 375-6200
Get Directions

DUBOIS REGIONAL MEDICAL CENTER is a sports medicine family medicine in Du Bois, PA. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. DUBOIS REGIONAL MEDICAL CENTER NPI is 1780125062. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Penn Highlands Concussion Clinic.

The provider's business location address is:

145 HOSPITAL AVE
SUITE 312
DU BOIS, PA
ZIP 15801-462
Phone: (814) 375-6200

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

The enumeration date for this NPI number is 3/20/2017 and was last updated on 4/5/2017.


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
1103G00000XClinical NeuropsychologistPENNSYLVANIANo
2207QS0010XFamily MedicineSports 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
1100774088MEDICAIDPENNSYLVANIA

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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