| Dubois Regional Medical Center | |
|
111 Cobb St Johnsonburg PA 15845-1209 | |
| (814) 965-2857 | |
| (814) 965-2523 |
| Full Name | Dubois Regional Medical Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 111 Cobb St, Johnsonburg, Pennsylvania |
| Authorized Official Name and Position | Brian S Kline (VP, CFO, AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8143756377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dubois Regional Medical Center 100 Hospital Ave Du Bois PA 15801-1440 Ph: (814) 375-4200 | Dubois Regional Medical Center 111 Cobb St Johnsonburg PA 15845-1209 Ph: (814) 965-2857 |
| NPI Number | 1548531213 |
|---|---|
| Provider Enumeration Date | 01/26/2012 |
| Last Update Date | 10/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548531213 | NPI | - | NPPES |
| 100774088 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Upmc Kane Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 81 Clarion Rd, Johnsonburg, PA 15845 Phone: 814-389-4412 | |
Elk Regional Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 Cobb St, Johnsonburg, PA 15845 Phone: 814-965-2857 Fax: 814-965-2523 |