NPIMap

Organization Active NPI

Dubois Regional Medical Center

Doing business as DRMC PCA Reynoldsville

  • Family Medicine Physician
  • Reynoldsville, PA
National Provider Identifier
1417979253
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
135501 Issued in PA
Legal business name
DUBOIS REGIONAL MEDICAL CENTER
Doing business as
DRMC PCA Reynoldsville
Practice address
5 N 3Rd St
Suite 1
Reynoldsville, PA 15851-1231
Phone
(814) 653-8222
Fax
(814) 653-9305
NPI assigned
Jul 24, 2006
Last updated
Feb 9, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
PENN HIGHLANDS HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Authorized official

Name
Ms. Patricia A Cressley
Title
VP & Cfo
Phone
(814) 375-6299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 135501 PA Primary

Addresses

Primary practice location

5 N 3Rd St
Suite 1
Reynoldsville, PA 15851-1231

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 653-8222

Other identifiers 2

IdentifierTypeStateIssuer
1007740880087MedicaidPA
1828853OtherPABLUE CROSS/BLUE SHIELD

Other names 1

  • DRMC PCA Reynoldsville 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

Locations

5 N 3rd St
Ste 1
Reynoldsville, PA 15851
Phone (814) 653-7686

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": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1417979253",
    "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": "814-653-8222",
            "fax_number": "814-653-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N 3RD ST",
            "address_2": "SUITE 1",
            "city": "REYNOLDSVILLE",
            "state": "PA",
            "postal_code": "158511231",
            "telephone_number": "814-653-8222",
            "fax_number": "814-653-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBOIS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENN HIGHLANDS HEALTHCARE",
        "enumeration_date": "2006-07-24",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "CRESSLEY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP & CFO",
        "authorized_official_telephone_number": "814-375-6299",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "135501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007740880087",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1828853",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRMC PCA Reynoldsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reynoldsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.