| Dubois Regional Medical Center | |
|
99 Hospital St Ridgway PA 15853-1948 | |
| (814) 788-5660 | |
| (814) 788-5663 |
| Full Name | Dubois Regional Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 99 Hospital St, Ridgway, Pennsylvania |
| Authorized Official Name and Position | Brian S Kline (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) 788-5660 | Dubois Regional Medical Center 99 Hospital St Ridgway PA 15853-1948 Ph: (814) 788-5660 |
| NPI Number | 1023346673 |
|---|---|
| Provider Enumeration Date | 11/19/2009 |
| Last Update Date | 10/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023346673 | NPI | - | NPPES |
| 106218 | Other | PA | MEDICARE PTAN |
| 089128 | Other | PA | MEDICARE PTAN |
| 1007740880070 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Pennsylvania) | Secondary |
| 207R00000X | Internal Medicine | (Pennsylvania) | Primary |
Dubois Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Metoxet St, Ridgway, PA 15853 Phone: 814-772-8122 Fax: 814-772-7278 | |
Keystone Rural Health Consortia, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 49 Ridgmont Dr Ste 1, Ridgway, PA 15853 Phone: 814-245-2119 Fax: 814-245-2122 | |
Elk Regional Professional Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Metoxet St, Ridgway, PA 15853 Phone: 814-788-5456 Fax: 814-772-7278 | |
Fernan Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 S. Mill St., Ridgway, PA 15853 Phone: 814-772-0722 Fax: 814-772-6934 |