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DUBOIS REGIONAL MED CTR - PENN HIGHLANDS Q-CARE/FAMILY MED EMPORIUM NPI 1972988780


NPI Information

NPI: 1972988780
Provider Name: DUBOIS REGIONAL MED CTR - PENN HIGHLANDS Q-CARE/FAMILY MED EMPORIUM

Doing Business As: PENN HIGHLANDS DUBOIS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
416 N BROAD ST
EMPORIUM, PA
ZIP 15834
Phone: (814) 371-2200
Get Directions

DUBOIS REGIONAL MED CTR - PENN HIGHLANDS Q-CARE/FAMILY MED EMPORIUM is a family medicine in Emporium, 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 MED CTR - PENN HIGHLANDS Q-CARE/FAMILY MED EMPORIUM NPI is 1972988780. 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:

416 N BROAD ST
EMPORIUM, PA
ZIP 15834-402
Phone: (814) 371-2200

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 enumeration date for this NPI number is 7/22/2015 and was last updated on 2/29/2016.


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
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerNo
3207Q00000XFamily 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
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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