Dubois Regional Medical Center - Penn Highlands Family Medicine
Organization Active NPI Family Medicine Physician · Saint Marys, PA
NPI 1275918997 · NPPES record last updated Jul 23, 2015
Key facts
- NPI
- 1275918997
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS FAMILY MEDICINE
- Practice address
- 757 Johnsonburg Rd
Suite 110
Saint Marys, PA 15857-3488 - Phone
- (814) 788-8580
- NPI assigned
- Jul 23, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- PENN HIGHLANDS HEALTHCARE
Authorized official
- Name
- Brian Kline
- Title
- Cfo
- Phone
- (814) 375-6377
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Patrick Shilala
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
757 Johnsonburg Rd
Suite 110
Saint Marys, PA 15857-3488
Mailing address
100 Hospital Ave
Du Bois, PA 15801-1440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100774088 | Medicaid | PA |
Other names
- Penn Highlands DuBois
Other providers in Saint Marys, PA
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center - Penn Highlands Family Medicine
- Dubois Regional Medical Center - Penn Highlands Family Medicine
- Dubois Regional Medical Center - Penn Highlands Internal Med St. Marys
- Dubois Regional Medical Center - Penn Highlands Medical Arts BLDG Elk
- Linda Mary Dubois
- Hannah Eckert
- Elk County Chiropractic, Inc.
All providers in Saint Marys, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2015. 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.