Provider Demographics
NPI:1700013984
Name:DUBOIS REGIONAL MEDICAL CENTER
Entity Type:Organization
Organization Name:DUBOIS REGIONAL MEDICAL CENTER
Other - Org Name:DRMC BROOKVILLE FAMILY HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP & CFO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CRESSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-371-2200
Mailing Address - Street 1:298 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15825-0814
Mailing Address - Country:US
Mailing Address - Phone:814-849-5288
Mailing Address - Fax:814-849-5819
Practice Address - Street 1:298 MAIN ST
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:PA
Practice Address - Zip Code:15825-0814
Practice Address - Country:US
Practice Address - Phone:814-849-5288
Practice Address - Fax:814-849-5819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty