DUBOIS REGIONAL MEDICAL CENTER (NPI# 1336517648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336517648 |
| Entity Type | Organization |
| Organization Name | DUBOIS REGIONAL MEDICAL CENTER |
| Other Organization Name | PENN HIGHLANDS COMMUNITY PHARMACY |
| Practice Address |
621 S Main St Du Bois PA 15801-1413 |
| Practice Telephone | 8143756165 |
| Practice Fax Number | 8143756334 |
| Mailing Telephone | 8143756165 |
| Mailing Fax Number | 8143756334 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2016-11-16 |
| Authorized Official Name | MR. BRIAN KLINE (CFO) |
| Authorized Official Telephone | 8143756377 |
| Is Organization Subpart | Y |
| Parent Organization Name | DUBOIS REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP482576 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100774088 | 05 |
| Other Name | Type Code |
|---|---|
| Penn Highlands Community Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
| 1952917981 | Dubois Regional Medical Center | Occupational Therapy Assistant | 21886 Route 119, Punxsutawney, PA 15767-7921 | 2020-09-16 |
| 1053930362 | Dubois Regional Medical Center | Internal Medicine | 88 Hospital Rd, Brookville, PA 15825-1368 | 2020-04-16 |
| 1609432749 | Dubois Regional Medical Center | Family Medicine | 820 Bryan St Ste 1, Huntingdon, PA 16652-2409 | 2019-05-14 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1053562207 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 205, Du Bois, PA 15801-1464 | 2008-10-07 |
| 1255426151 | Dubois Regional Medical Center | Internal Medicine | 210 Loch Lomond Rd, Philipsburg, PA 16866-1930 | 2006-10-04 |
| 1033213608 | Dubois Regional Medical Center | Obstetrics & Gynecology | 869 Beaver Dr, Du Bois, PA 15801-2511 | 2006-09-12 |
| 1184728727 | Dubois Regional Medical Center | Neurological Surgery | 145 Hospital Ave Ste 106, Du Bois, PA 15801-1463 | 2006-09-12 |
| 1780791418 | Dubois Regional Medical Center | Internal Medicine | 230 Hemlock Avenue, Force, PA 15841 | 2006-08-25 |
| Street Address |
621 S MAIN ST |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-1413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568454833 | Albert D. Abrams | Internal Medicine | 621 S Main St, Du Bois, PA 15801-1413 | 2005-08-22 |
| 1902403405 | Michelle Bennett | Pharmacist | 621 S Main St, Du Bois, PA 15801-1413 | 2020-10-07 |
| 1154805349 | Jo Dee Mulhollan | Nurse Practitioner | 621 S Main St, Du Bois, PA 15801-1413 | 2018-09-24 |
| 1023592458 | Tabitha Joy Ashoff | Physician Assistant | 621 S Main St, Du Bois, PA 15801-1413 | 2018-09-21 |
| 1639656606 | Sara Elizabeth Wolbert | Nurse Practitioner | 621 S Main St, Du Bois, PA 15801 | 2018-07-23 |
| 1194217778 | Sydney Marie Soberdash | Physician Assistant | 621 S Main St, Du Bois, PA 15801-1413 | 2018-05-31 |
| 1245748151 | Eric Wolfgang | Pharmacist | 621 S Main St, Du Bois, PA 15801-1413 | 2018-01-12 |
| 1538671524 | Kimberly Renee Placer | Pharmacist | 621 S Main St, Du Bois, PA 15801-1413 | 2017-10-30 |
| 1407367295 | Amanda Marie Spencer | Pharmacist | 621 S Main St, Du Bois, PA 15801-1413 | 2017-10-19 |
| 1215487509 | Christos Karalis | Internal Medicine | 621 S Main St, Du Bois, PA 15801-1413 | 2016-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306166715 | Giant Eagle, Inc | Pharmacy | 100 N Main St, Du Bois, PA 15801-1888 | 2010-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143990 | Valerie Hellriegel | Pharmacy | 567 N Route 100, Bechtelsville, PA 19505-9263 | 2020-11-01 |
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1538769864 | Luzerne Discount Pharmacy Inc | Pharmacy | 101 Main St Unit D, Luzerne, PA 18709-1209 | 2020-10-27 |
| 1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
| 1780290197 | Weis Markets, Inc. | Pharmacy | 112 Atlantic Ave., Dingmans Ferry, PA 18328 | 2020-09-21 |
| 1275146177 | Newport Pharmacy LLC | Pharmacy | 57 S 2nd St, Newport, PA 17074-1402 | 2020-08-28 |
| 1699387779 | Allegheny Valley Hospital Retail Pharmacy | Pharmacy | 1301 Carlisle St Fl 3, Natrona Heights, PA 15065-1152 | 2020-08-19 |
| 1396355426 | Mdk Health | Pharmacy | 3985 Columbia Ave Unit 2, Columbia, PA 17512-9003 | 2020-08-04 |
| 1861000861 | Koso,llc | Pharmacy | 407 Shadeland Ave, Drexel Hill, PA 19026-1437 | 2020-07-16 |
| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.