| Dubois Regional Medical Center | |
|
1200 Wood St Brockway PA 15824-2118 | |
| (814) 265-8636 | |
| (814) 265-8536 |
| Full Name | Dubois Regional Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1200 Wood St, Brockway, Pennsylvania |
| Authorized Official Name and Position | Brian S Kline (VP & CFO) |
| 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) 265-8636 | Dubois Regional Medical Center 1200 Wood St Brockway PA 15824-2118 Ph: (814) 265-8636 |
| NPI Number | 1144231390 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 02/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144231390 | NPI | - | NPPES |
| 000906763 | Other | PA | HIGHMARK BLUE CROSS |
| 1007740880082 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Brockway Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Main St, Brockway, PA 15824 Phone: 814-268-3645 Fax: 814-265-1795 | |
James Edward Devlin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Main St, Brockway, PA 15824 Phone: 814-268-3645 Fax: 814-265-1795 |