NPIMap

Organization Active NPI

Dubois Regional Medical Center

Doing business as Penn Higlands DuBois Clearfield Campus Bright Horizons Outpatient

  • Psychiatry Physician
  • Clearfield, PA
National Provider Identifier
1326612847
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DUBOIS REGIONAL MEDICAL CENTER
Doing business as
Penn Higlands DuBois Clearfield Campus Bright Horizons Outpatient
Practice address
1033 Turnpike Ave
Clearfield, PA 16830-3061
Phone
(814) 768-2137
Fax
(814) 768-2084
NPI assigned
May 19, 2021
Last updated
Mar 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Heather Schneider
Title
Cfo
Phone
(814) 375-6432

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Psychiatry Physician 2084P0800X Primary
Psychiatric Hospital Unit 273R00000X

Addresses

Primary practice location

1033 Turnpike Ave
Clearfield, PA 16830-3061

Mailing address

1033 Turnpike Ave
Clearfield, PA 16830-3061
Phone (814) 768-2137

Other names 1

  • Penn Higlands DuBois Clearfield Campus Bright Horizons Outpatient Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071228000099 PA Part A Provider - Hospital 5890689715 27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326612847. 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

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

Other NPIs on the same Medicare enrollment 27

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

View all 27

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

Ownership & related parties

All disclosed owners & managing parties 22

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%
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
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
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

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

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": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1326612847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 TURNPIKE AVE",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168303061",
            "telephone_number": "814-768-2137",
            "fax_number": "814-768-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 TURNPIKE AVE",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168303061",
            "telephone_number": "814-768-2137",
            "fax_number": "814-768-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBOIS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-375-6432"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Higlands DuBois Clearfield Campus Bright Horizons Outpatient",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Penn Higlands DuBois Clearfield Campus Bright Horizons Outpatient",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearfield, PA

Sources for this page

Verify at the official NPI Registry.