Provider Demographics
NPI:1477708378
Name:DRMC BROOKVILLE GENERAL SURGERY
Entity Type:Organization
Organization Name:DRMC BROOKVILLE GENERAL SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/V-P OF FINANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CRESSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-375-6104
Mailing Address - Street 1:PO BOX 447
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-0447
Mailing Address - Country:US
Mailing Address - Phone:814-849-5151
Mailing Address - Fax:814-849-9624
Practice Address - Street 1:240 ALLEGHENY BLVD
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:PA
Practice Address - Zip Code:15825-2323
Practice Address - Country:US
Practice Address - Phone:814-849-5151
Practice Address - Fax:814-849-9624
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DUBOIS REGIONAL MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty