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DUBOIS REGIONAL MEDICAL CENTER NPI 1801386024


NPI Information

NPI: 1801386024
Provider Name: DUBOIS REGIONAL MEDICAL CENTER

Doing Business As: PENN HIGHLANDS DUBOIS SUMMIT ST BLDG

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
111 SUMMIT ST
BROOKVILLE, PA
ZIP 15825
Phone: (814) 849-1480
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DUBOIS REGIONAL MEDICAL CENTER is a family medicine in Brookville, 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 1801386024. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Penn Highlands Dubois Summit St Bldg.

The provider's business location address is:

111 SUMMIT ST
BROOKVILLE, PA
ZIP 15825-422
Phone: (814) 849-1480
Fax: (814) 849-1481

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 5/14/2018 and was last updated on 5/14/2018.


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 MedicineYes
2207R00000XInternal MedicineNo
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo

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
1106218OTHERPENNSYLVANIAGROUP MC
21007740880070MEDICAIDPENNSYLVANIA

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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