NPIMap

Organization Active NPI

Dubois Regional Medical Center

Doing business as Penn Highlands Emergency Department

  • Emergency Medicine Physician
  • Du Bois, PA
National Provider Identifier
1174261986
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
DUBOIS REGIONAL MEDICAL CENTER
Doing business as
Penn Highlands Emergency Department
Practice address
100 Hospital Ave
Du Bois, PA 15801-1440
Phone
(814) 371-2200
NPI assigned
May 23, 2022
Last updated
May 23, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PENN HIGHLANDS HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brian S Kline
Title
Cfo / Auth Official
Phone
(814) 375-6377

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
General Practice Physician 208D00000X NU
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

100 Hospital Ave
Du Bois, PA 15801-1440

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-4200

Other practice location 1

100 Hospital Rd
Brookville, PA 15825-1367
Phone (814) 849-2312

Other practice location 2

763 Johnsonburg Rd
Saint Marys, PA 15857-3417
Phone (814) 788-8000

Other practice location 3

187 Hospital Dr
Tyrone, PA 16686-1808
Phone (814) 684-1255

Other practice location 4

1225 Warm Springs Ave
Huntingdon, PA 16652-2350
Phone (814) 643-8408

Other practice location 5

1163 Country Club Rd
Monongahela, PA 15063-1013
Phone (724) 258-1000

Other practice location 6

401 E Murphy Ave
Connellsville, PA 15425-2724
Phone (724) 628-1500

Other practice location 7

809 Turnpike Ave
Clearfield, PA 16830-1232
Phone (814) 765-5341

Other names 1

  • PENN HIGHLANDS EMERGENCY DEPARTMENT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Du Bois Regional Med CT123 organizations share this tax ID, including this one
Part of
Penn Highlands Healthcare

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1174261986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-4200",
            "fax_number": "814-375-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-371-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Brookville",
            "state": "PA",
            "postal_code": "158251367",
            "country_code": "US",
            "telephone_number": "814-849-2312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "763 Johnsonburg Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "PA",
            "postal_code": "158573417",
            "country_code": "US",
            "telephone_number": "814-788-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "187 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Tyrone",
            "state": "PA",
            "postal_code": "166861808",
            "country_code": "US",
            "telephone_number": "814-684-1255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 Warm Springs Ave",
            "address_purpose": "LOCATION",
            "city": "Huntingdon",
            "state": "PA",
            "postal_code": "166522350",
            "country_code": "US",
            "telephone_number": "814-643-8408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1163 Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Monongahela",
            "state": "PA",
            "postal_code": "150631013",
            "country_code": "US",
            "telephone_number": "724-258-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 E Murphy Ave",
            "address_purpose": "LOCATION",
            "city": "Connellsville",
            "state": "PA",
            "postal_code": "154252724",
            "country_code": "US",
            "telephone_number": "724-628-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 Turnpike Ave",
            "address_purpose": "LOCATION",
            "city": "Clearfield",
            "state": "PA",
            "postal_code": "168301232",
            "country_code": "US",
            "telephone_number": "814-765-5341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DUBOIS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENN HIGHLANDS HEALTHCARE",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO / AUTH OFFICIAL",
        "authorized_official_telephone_number": "814-375-6377"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENN HIGHLANDS EMERGENCY DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Du Bois, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.