Dubois Regional Medical Center
Organization Active NPI Multi-Specialty Clinic/Center · Brookville, PA
NPI 1053930362 · NPPES record last updated Oct 6, 2020
Key facts
- NPI
- 1053930362
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- DUBOIS REGIONAL MEDICAL CENTER
- Practice address
- 88 Hospital Rd
Brookville, PA 15825-1368 - Phone
- (814) 849-2312
- Fax
- (814) 849-4841
- NPI assigned
- Apr 16, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- PENN HIGHLANDS HEALTHCARE
Authorized official
- Name
- Brian S Kline
- Title
- VP/Cfo/Authorized Official
- Phone
- (814) 375-6377
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 17
National Provider Directory
- Tax ID family
- Patrick Shilala
- Part of
- Penn Highlands Healthcare
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Emergency Medicine) Physician |
207PS0010X | |||
| Sports Medicine (Family Medicine) Physician |
207QS0010X | |||
| Internal Medicine Physician |
207R00000X | |||
| Critical Care Medicine (Internal Medicine) Physician |
207RC0200X | |||
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | |||
| Gastroenterology Physician |
207RG0100X | |||
| Hematology & Oncology Physician |
207RH0003X | |||
| Pulmonary Disease Physician |
207RP1001X | |||
| Sleep Medicine (Internal Medicine) Physician |
207RS0012X | |||
| Medical Oncology Physician |
207RX0202X | |||
| Orthopaedic Surgery Physician |
207X00000X | |||
| Sports Medicine (Orthopaedic Surgery) Physician |
207XX0005X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
88 Hospital Rd
Brookville, PA 15825-1368
Mailing address
100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-4200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100774088 | Medicaid | PA |
Other names
- PENN HIGHLANDS DUBOIS
- PENN HIGHLANDS BROOVILLE MEDICAL OFFICE BLDG
Other providers in Brookville, PA
- Shannon Rose Daubenspeck
- Austin Donn Davis
- Sharon Eileen Doolittle
- Jeanne Drayer
- DRMC Brookville General Surgery
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
All providers in Brookville, PA · Multi-Specialty Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.