Penn Highlands Concussion Clinic

LBN: Dubois Regional Medical Center
Penn Highlands Concussion Clinic is an health care organization with primary practice located at 145 Hospital Ave Suite 312, Du Bois PA 15801-1462. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is the primary health care specialty. Dubois Regional Medical Center can be contacted via phone (814) 375-6200, or through Kline, Brian S via phone (814) 375-6377.

Contact Information

Primary practice address
145 Hospital Ave Suite 312 Du Bois PA 15801-1462
Phone: (814) 375-6200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kline, Brian S
Phone: (814) 375-6377

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X

Profile Details

NPI number 1780125062
LBN Legal business name Dubois Regional Medical Center
DBA Doing business as Penn Highlands Concussion Clinic
Authorized official Kline, Brian S
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 20th, 2017
Last updated Apr 5th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780125062 NPPES
Pennsylvania MEDICAID 100774088

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