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145 Hospital Ave Ste 106 Du Bois PA 15801-1463 | |
(814) 371-0373 | |
(814) 371-0359 |
Full Name | |
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Speciality | Family Medicine |
Location | 145 Hospital Ave Ste 106, Du Bois, Pennsylvania |
Authorized Official Name and Position | Brian S Kline (VP & CFO) |
Authorized Official Contact | 8143756377 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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100 Hospital Ave Du Bois PA 15801-1440 Ph: (814) 371-0373 | 145 Hospital Ave Ste 106 Du Bois PA 15801-1463 Ph: (814) 371-0373 |
NPI Number | 1932423340 |
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Provider Enumeration Date | 03/15/2010 |
Last Update Date | 11/03/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932423340 | NPI | - | NPPES |
100774088-0070 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Pennsylvania) | Primary |
207R00000X | Internal Medicine | (Pennsylvania) | Secondary |
My Care Now, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 90 Beaver Dr, Building C, Du Bois, PA 15801 Phone: 814-371-2273 Fax: 814-371-2500 | |
Dubois Regional Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Hospital Ave Ste 104, Du Bois, PA 15801 Phone: 814-375-8055 Fax: 814-375-8056 | |
Skilled Medpros Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Fallen Timber Dr, Du Bois, PA 15801 Phone: 814-591-2495 Fax: 866-832-1744 | |