DUBOIS REGIONAL MEDICAL CENTER (NPI# 1487848768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487848768 |
| Entity Type | Organization |
| Organization Name | DUBOIS REGIONAL MEDICAL CENTER |
| Other Organization Name | PENN HIGHLANDS DUBOIS BEHAVIORAL HEALTH CENTER |
| Practice Address |
635 Maple Ave Du Bois PA 15801-2376 |
| Mailing Address |
Po Box 447 Du Bois PA 15801-0447 |
| Practice Telephone | 8143756379 |
| Practice Fax Number | 8143759320 |
| Mailing Telephone | 8143756379 |
| Mailing Fax Number | 8143759320 |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2015-09-02 |
| Authorized Official Name | MR. BRIAN S. KLINE (VP/CFO) |
| Authorized Official Telephone | 8143756377 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Penn Highlands DuBois Behavioral Health Center | Other Name - Individual/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 |
635 MAPLE AVE |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-2376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528002573 | John Wade Lobb | Psychologist | 635 Maple Ave, Du Bois, PA 15801-2376 | 2006-06-16 |
| 1962917245 | Mary Elizabeth Logan | Nurse Practitioner | 635 Maple Ave, Du Bois, PA 15801-2376 | 2017-12-07 |
| 1033661335 | Bethany Lindemuth | Social Worker | 635 Maple Ave, Du Bois, PA 15801 | 2016-11-03 |
| 1881063279 | Olivia Luzier | Social Worker | 635 Maple Ave, Du Bois, PA 15801-2376 | 2015-09-16 |
| 1851776397 | Dubois Regional Medical Center - Penn Highlands Dubois East Campus | Family Medicine | 635 Maple Ave, Du Bois, PA 15801-2376 | 2015-07-27 |
| 1366836959 | Arianne Zimmerman | Counselor | 635 Maple Ave, Du Bois, PA 15801-2376 | 2015-03-23 |
| 1487937199 | Dubois Regional Medical Center | Internal Medicine | 635 Maple Ave, Du Bois, PA 15801-2376 | 2011-09-20 |
| 1770893141 | Megan E Lyle | Physician Assistant | 635 Maple Ave, Du Bois, PA 15801-2376 | 2010-10-19 |
| 1710296157 | Dubois Regional Medical Center | Family Medicine | 635 Maple Ave, Du Bois, PA 15801 | 2010-10-04 |
| 1043523657 | Huma Ansari | Psychiatry & Neurology | 635 Maple Ave, Du Bois, PA 15801-2376 | 2010-07-24 |
| 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 | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962421941 | Dubois Regional Medical Center | Psychiatric Unit | 635 Maple Ave, Du Bois, PA 15801-2376 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366596488 | Meadville Medical Center | Psychiatric Unit | 1034 Grove St., Psychiatric Unit, Meadville, PA 16335-2945 | 2007-01-23 |
| 1023129707 | The Children's Institute of Pittsburgh | Psychiatric Unit | 6301 Northumberland St, Pittsburgh, PA 15217-1360 | 2006-08-31 |
| 1588771216 | Pinnacle Health Hospitals | Psychiatric Unit | 2401 N 3rd St, Harrisburg, PA 17110-1902 | 2006-08-25 |
| 1356354567 | Blue Mountain Hospital | Psychiatric Unit | 211 North 12th Street, Lehighton, PA 18235-1138 | 2006-08-15 |
| 1194755892 | Tenet Health System Hahnemann, LLC | Psychiatric Unit | Broad & Vine Streets, Mailstop 417, Philadelphia, PA 19102-1178 | 2006-07-05 |
| 1649897562 | Highlands Hospital and Health Center | Psychiatric Unit | 401 E Murphy Ave, Connellsville, PA 15425-2724 | 2020-06-26 |
| 1336786276 | Somerset Health Services, Inc. | Psychiatric Unit | 225 S Center Ave, Somerset, PA 15501-2033 | 2019-12-10 |
| 1649746488 | Upmc Williamsport | Psychiatric Unit | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2018-10-19 |
| 1184116774 | Schuylkill Medical Center - South Jackson Street | Psychiatric Unit | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2018-05-31 |
| 1629578604 | Calvin A Alvesvelez | Psychiatric Unit | 500 University Dr, Hershey, PA 17033-2360 | 2018-02-16 |
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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.