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Contact Information

DUBOIS REGIONAL MED CTR - PH DUBOIS INTERNAL MED/FAMILY MED CLEARFIELD
531 HANNAH ST
CLEARFIELD, PA16830-1209
 Phone: 814-371-2200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DUBOIS REGIONAL MED CTR - PH DUBOIS INTERNAL MED/FAMILY MED CLEARFIELD

NPI # 1962887588
LBN Legal business name DUBOIS REGIONAL MED CTR - PH DUBOIS INTERNAL MED/FAMILY MED CLEARFIELD
Authorized official BRIAN KLINE - (VP/CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/24/2015
Last updated 02/29/2016 - About 10 years ago
Identifiers
PA Medicaid 1007740880070
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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