Dubois Regional Medical Center
Organization Active NPI Addiction Medicine (Preventive Medicine) Physician · Du Bois, PA
NPI 1710296157 · NPPES record last updated Jan 12, 2023
Key facts
- NPI
- 1710296157
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician 2083A0300X
- Legal business name
- DUBOIS REGIONAL MEDICAL CENTER
- Practice address
- 635 Maple Ave
Du Bois, PA 15801 - Phone
- (814) 375-8055
- Fax
- (814) 375-8056
- NPI assigned
- Oct 4, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- PENN HIGHLANDS HEALTHCARE
Authorized official
- Name
- Ms. Heather Schneider
- Title
- VP & Cfo
- Phone
- (814) 375-6432
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Patrick Shilala
- Part of
- Penn Highlands Healthcare
Locations
100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | PA | ||
| Addiction Medicine (Family Medicine) Physician |
207QA0401X | |||
| Addiction Medicine (Preventive Medicine) Physician |
2083A0300X | Yes |
Addresses
Primary practice location
635 Maple Ave
Du Bois, PA 15801
Mailing address
100 Hospital Avenue
Du Bois, PA 15801-1440
Phone (814) 375-4200
Other practice location 1
1033 Turnpike Ave
Clearfield, PA 16830-3061
Phone (814) 375-8055
Other practice location 2
100 Hospital Rd
Brookville, PA 15825-1367
Phone (814) 849-1396
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007740880070 | Medicaid | PA |
Other names
- Penn Highlands Integrated Recovery Care
Other providers in Du Bois, PA
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
All providers in Du Bois, PA · Addiction Medicine (Preventive 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 Jan 12, 2023. 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.