Dubois Regional Medical Center

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

745205 Issued in PA

Legal business name

DUBOIS REGIONAL MEDICAL CENTER

Practice address

100 Hospital Ave
Du Bois, PA 15801-1440

Phone

(814) 375-3300

Fax

(814) 375-3396

NPI assigned

Aug 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John S. Sutika

Title

Chief Financial Officer

Phone

(814) 375-6104

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• DRMC Home Health Other name

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497761043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158010447",
            "telephone_number": "814-375-3300",
            "fax_number": "814-375-3396"
        },
        {
            "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": "814-375-3300",
            "fax_number": "814-375-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBOIS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUTIKA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "814-375-6104",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "745205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007740880116",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0871",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRMC Home Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dubois Regional Medical Center
• Dubois Regional Medical Center
• Dubois Regional Medical Center
• Dubois Regional Medical Center (Penn Highlands DuBois)
• Dubois Regional Medical Center (Penn Highlands DuBois)
• Dubois Regional Medical Center
• Dubois Regional Medical Center
• Dubois Regional Medical Center
• Dubois Regional Medical Center
• Dubois Regional Medical Center (Penn Highlands DuBois Q-Care)

• Home Health Agency in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.