NPIMap

Organization Active NPI

Dubois Regional Medical Center

  • Family Medicine Physician
  • Du Bois, PA
National Provider Identifier
1245410554
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DUBOIS REGIONAL MEDICAL CENTER
Practice address
100 Hospital Ave
Du Bois, PA 15801-1440
Phone
(814) 375-4090
Fax
(814) 372-2581
NPI assigned
Nov 5, 2007
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PENN HIGHLANDS HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Mr. Brian S Kline
Title
VP & Cfo
Phone
(814) 375-6377

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X

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 identifiers 2

IdentifierTypeStateIssuer
C15292OtherPAPALMETTO GBA
106218OtherPAPTAN

Other names 1

  • Penn Highlands Family Practices Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040426000432 PA Part B Supplier - Clinic/Group Practice 5890689715 Receives reassigned benefits from 118 practitioners
3 other NPIs on this enrollment
Practice locations: Saint Marys, PA; Ridgway, PA; Reynoldsville, PA; Punxsutawney, PA; Dubois, PA; Brockway, PA; Brookville, PA; Clarion, PA…
O20071228000099 PA Part A Provider - Hospital 5890689715 27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20170406002981 PA Part A Provider - Rural Health Clinic 5890689715 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brookville, PA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1245410554. Details of each certification follow.

Hospital certification: CCN 390086

Legal name
DUBOIS REGIONAL MEDICAL CENTER
Doing business as
PENN HIGHLANDS DUBOIS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 27, 2024
Beds
244 (202 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Aug 25, 1955 in PA
Enrollment address
100 Hospital Ave
Dubois, PA 15801-1440
Other Hospital Practice Location
Hospital subgroups
General, Acute care, Psychiatric unit

Rural health clinic certification: CCN 393414

Legal name
DUBOIS REGIONAL MEDICAL CENTER
Doing business as
PENN HIGHLANDS DUBOIS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 3, 2010
Last certification
Mar 31, 2022
Ownership / control type
2B
Most recent change of ownership
Jun 1, 2017 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Aug 25, 1955 in PA
Enrollment address
22 Industrial Park Road
Brookville, PA 15825-7228
Related CCNs
390086

Facilities connected through Provider of Services related, parent or unit certification numbers.

View all 31

Other NPIs on the same Medicare enrollment 31

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 31

Care Compare: Hospital

Medicare Care Compare
Listed as
Penn Highlands DuboisCCN 390086 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Penn Highlands Healthcare

Ownership & related parties

All disclosed owners & managing parties 38

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Douglas Winner Individual Corporate DirectorSystem Chief Financial Officer Aug 12, 2024
Jourdan D Strishock Individual W-2 Managing EmployeeCompliance Supervisor Aug 1, 2021
Russell E Cameron Individual Corporate DirectorChief Medical Information Officer Jul 1, 2016
Penn Highlands Healthcare, Inc. Organization, Du Bois, PA Non-profit 5% Or Greater Direct Ownership Interest Jun 16, 2011 100%
Operational/Managerial Control Jun 16, 2011 100%
Other Jan 1, 2013
Robert W O'Leary Individual Corporate Officer Jul 1, 2021
Trina L Johnson Individual Corporate DirectorChief Medical Officer Oct 21, 2022
Edward Yahner Individual Corporate Officer Jul 1, 2025
Corporate DirectorBoard Member Jul 1, 2017
Joanne Ryan Individual Corporate Officer Jul 1, 2022
David Lezzer Individual Corporate Officer Jul 1, 2021
James E Devlin Individual Corporate Officer Jul 1, 2022
Carlyn Belczyk Individual Corporate Officer Oct 1, 2021
Samuel Lewis Individual Corporate Officer Feb 1, 2021
Richard L Pfingstler Individual Corporate Officer Jul 1, 2021
Donald E Conrad Individual Corporate Officer Jul 1, 2021
Scott H Foradora Individual Corporate Officer Jul 1, 2020
Mark Norman Individual Corporate DirectorChief Operating Officer Jul 1, 2016
W-2 Managing EmployeeAd; Jul 1, 2016
William H Young Individual Corporate Officer Jul 1, 2021
Mark McGinley Individual Corporate Officer Oct 1, 2021
James B Ryan Individual Corporate Officer Jul 1, 2020
John S Sutika Individual Corporate Officer Jul 1, 2025
Corporate DirectorDirector Oct 1, 2011 5.26%
W-2 Managing EmployeePresident / Authorized Official Oct 1, 2011 5.26%
Brian S Kline Individual Corporate DirectorChief Financial Officer Jul 1, 2024
W-2 Managing EmployeeAd; Jul 1, 2024
Steven M Fontaine Individual Corporate DirectorChief Executive Officer Jul 1, 2016
Michael T Miller Individual Corporate OfficerSecretary Jun 30, 2016 5.26%
Corporate DirectorBoard Member Jan 15, 2013 5.26%
Brian Wingard Individual Corporate DirectorBoard Member Jul 1, 2021
Ryan J Bisbey Individual Corporate DirectorBoard Member Jul 1, 2021
Bonita J McCartney Individual Corporate DirectorDirector Jun 30, 2016 5.26%
Daniel Hawkins Individual Corporate DirectorBoard Member Jul 1, 2021
Heather Schneider Individual Corporate DirectorCfo May 10, 2022
W-2 Managing EmployeeCfo May 10, 2022
Richard F Latuska Individual Corporate DirectorBoard Member Jul 1, 2020
Hazem F Elkassas Individual Corporate DirectorDirector Jan 17, 2012 5.26%
Joyce R Fairman Individual Corporate DirectorDirector Jun 30, 2016 5.26%
Raymond E Donati Individual Corporate DirectorDirector Jun 30, 2016 5.26%
Joshua B Benton Individual Corporate DirectorBoard Member Jul 1, 2017
Michael Armanini Individual Corporate DirectorBoard Member Jul 1, 2019
James D Curtis Individual Corporate DirectorDirector Jan 21, 2003 5.26%
Sally Moran Individual Corporate DirectorDirector Jun 30, 2016 5.26%
Robert M Edwards Individual Corporate DirectorBoard Member Jul 1, 2021
William Jay Chamberlain Individual Corporate DirectorBoard Member Jul 1, 2017

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Penn Highlands BrookvilleBrookville, PA, CCN 391312 Hospital Operational/Managerial Control Sep 26, 2007
Dr Arthur Clifton McKinley Health CenterBrookville, PA, CCN 395550 Skilled nursing facility 5% Or Greater Indirect Ownership Interest
Operational/Managerial Control
Adp of the SNF		 Dec 31, 2021
Jan 1, 2024
Sep 25, 2025
Penn Highlands Jefferson ManorBrookville, PA, CCN 395626 Skilled nursing facility 5% Or Greater Indirect Ownership Interest
Adp of the SNF		 Apr 1, 2019
Dec 9, 2025
Penn Highlands BrookvillePhilipsburg, PA, CCN 393430 Rural health clinic Operational/Managerial Control (100%) Oct 1, 2011

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.

Practitioners & affiliated clinicians

Practitioners 121

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 121

Affiliated clinicians 708

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 708

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1245410554",
    "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": "814-375-4090",
            "fax_number": "814-372-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBOIS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENN HIGHLANDS HEALTHCARE",
        "enumeration_date": "2007-11-05",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VP & CFO",
        "authorized_official_telephone_number": "814-375-6377",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "C15292",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "106218",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Highlands Family Practices",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.