Penn Highlands Dubois | |
635 Maple Ave Du Bois PA 15801-2376 | |
(814) 375-6351 | |
(814) 372-2682 |
Full Name | Penn Highlands Dubois |
---|---|
Speciality | Psychiatric Unit |
Location | 635 Maple Ave, Du Bois, Pennsylvania |
Authorized Official Name and Position | Heather Schneider (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 8143756432 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Penn Highlands Dubois 100 Hospital Ave Du Bois PA 15801-1440 Ph: (814) 375-6351 | Penn Highlands Dubois 635 Maple Ave Du Bois PA 15801-2376 Ph: (814) 375-6351 |
NPI Number | 1962421941 |
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Provider Enumeration Date | 07/19/2006 |
Last Update Date | 04/17/2024 |
Certification Date | 04/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962421941 | NPI | - | NPPES |
1007740880101 | Medicaid | PA | |
0909 | Other | PA | BLUE CROSS PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | 135501 (Pennsylvania) | Primary |
323P00000X | Psychiatric Residential Treatment Facility | (* (Not Available)) | Secondary |
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