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PENN HIGHLANDS DUBOIS
NPI 1043687213
Family Medicine in Saint Marys, PA

Active since August 24, 2015CLIA Certified · 2 labs
761 JOHNSONBURG RD, SUITE 220, SAINT MARYS, PA 15857(814) 834-2850 Get Directions Write a Review

NPPES record last updated: August 24, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Penn Highlands Dubois NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENN HIGHLANDS DUBOIS (NPI 1043687213) is a healthcare organization registered as a family medicine in Saint Marys, Pennsylvania and active in the NPI registry since August 2015. The organization holds 2 active CLIA laboratory certificates and lists Brian Kline, Cfo, as its authorized official.

NPPES Registry Identity

NPI1043687213
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDUBOIS REGIONAL MED CENTER - PENN HIGHLANDS FAMILY MED ST MARYS 94150
Location Address761 JOHNSONBURG RD, SUITE 220Saint Marys, PA 15857-3483
Mailing Address100 Hospital AveDu Bois, PA 15801-1440
Phone(814) 834-2850
Organization SubpartYesParent: Penn Highlands Healthcare
Authorized OfficialBrian KlineCfo · (814) 375-6377
Enumeration DateAugust 24, 2015
✔ NPI 1043687213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

761 JOHNSONBURG RD, Saint Marys, PA 15857
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Other Names 1

Doing Business AsPenn Highlands Dubois

Other Identifiers 2

Medicare PIN390086PA
Medicaid100774088PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 39D0181725

Penn Highlands Dubois · Du Bois, PA
Active · expires Dec 11, 2027
CLIA Number39D0181725
Laboratory TypeHospital
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorDr. Jonathan Cannella
Laboratory Phone(814) 375-3239
Laboratory LocationPenn Highlands Dubois100 Hospital Avenue, Du Bois, PA 15801
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 39D2101722

Penn Highlands Dubois Q Care · Du Bois, PA
Active · expires Sep 8, 2027
CLIA Number39D2101722
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorDr. Richard F. Latuska
Laboratory Phone(814) 375-3230
Laboratory LocationPenn Highlands Dubois Q Care621 S Main Street, Du Bois, PA 15801
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 39D0011263

Penn Highlands Elk · Saint Marys, PA
Active · expires May 24, 2027
CLIA Number39D0011263
Laboratory TypeHospital
Certificate Effective DateMay 25, 2025
Certificate Expiration DateMay 24, 2027
Laboratory DirectorDr. Jonathan D. Cannella
Laboratory Phone(814) 788-8525
Laboratory LocationPenn Highlands Elk763 Johnsonburg Road, Saint Marys, PA 15857
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN MICHAEL GORLOWSKI M.D.
Pediatrics (Adolescent Medicine)
761 JOHNSONBURG RD, SUITE 360
ST MARYS, PA 15857
Elk County (814) 781-8677
ELK REGIONAL PROFESSIONAL GROUP, INC.
Surgery
761 JOHNSONBURG RD, ERPG SPECIALTY SERVICES
SAINT MARYS, PA 15857
Elk County (814) 788-8615
DR. DONALD HENRY RUDICK MD
Specialist
761 JOHNSONBURG RD, SUITE 350
ST MARYS, PA 15857
Elk County (814) 781-8669
JOSEPH & SUBRAMANY, INC.
Specialist
761 JOHNSONBURG RD, SUITE 130
ST MARYS, PA 15857
Elk County (814) 781-1188
LEI CHEN MD
Obstetrics & Gynecology (Obstetrics)
761 JOHNSONBURG RD
ST MARYS, PA 15857
Elk County (814) 834-6139
TRI-COUNTY UROLOGY INC
Urology
761 JOHNSONBURG RD, SUITE 350
SAINT MARYS, PA 15857
Elk County (814) 781-8669
JOHN M GORLOWSKI MD PC
Pediatrics (Adolescent Medicine)
761 JOHNSONBURG RD, SUITE 360
SAINT MARYS, PA 15857
Elk County (814) 781-8677
DR. TED BRUBAKER ESHBACH M.D.
Orthopaedic Surgery
761 JOHNSONBURG RD, SUITE 310
ST MARYS, PA 15857
Elk County (814) 834-1686

Frequently Asked Questions

What is DUBOIS REGIONAL MED CENTER - PENN HIGHLANDS FAMILY MED ST MARYS 94150's NPI number?

The NPI number assigned to this healthcare provider is 1043687213, enumerated as an "organization" on August 24, 2015.

Where is the provider located?

The provider is located at 761 JOHNSONBURG RD SUITE 220 SAINT MARYS, PA 15857 and the phone number is (814) 834-2850.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does DUBOIS REGIONAL MED CENTER - PENN HIGHLANDS FAMILY MED ST MARYS 94150 accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.