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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: August 09, 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 2

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.

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 M. GORLOWSKI, M.D.
Clinical Medical Laboratory
761 JOHNSONBURG RD, SUITE 360
SAINT MARYS, PA 15857
Elk County (814) 781-8677
JOHN M GORLOWSKI MD PC
Pediatrics (Adolescent Medicine)
761 JOHNSONBURG RD, SUITE 360
SAINT MARYS, PA 15857
Elk County (814) 781-8677
TRI-COUNTY UROLOGY INC
Urology
761 JOHNSONBURG RD, SUITE 350
SAINT MARYS, PA 15857
Elk County (814) 781-8669
MARSHA LYNN LEHMAN
Nurse Practitioner (Family)
761 JOHNSONBURG RD
SAINT MARYS, PA 15857
Elk County (814) 788-8777
DORA BLAIR NELSON PA-C
Physician Assistant
761 JOHNSONBURG RD
SAINT MARYS, PA 15857
Elk County (814) 512-7126
DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS FAMILY MEDICINE
Family Medicine
761 JOHNSONBURG RD, SUITE 240
SAINT MARYS, PA 15857
Elk County (814) 788-8183
ELK REGIONAL PROFESSIONAL GROUP, INC.
Surgery
761 JOHNSONBURG RD, ERPG SPECIALTY SERVICES
SAINT MARYS, PA 15857
Elk County (814) 788-8615
MRS. ANDREA LEE INZANA PA-C
Physician Assistant
761 JOHNSONBURG RD, SUITE 310
SAINT MARYS, PA 15857
Elk County (814) 834-1686

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dubois Regional Med Center - Penn Highlands Family Med St Marys 94150's NPI number?

The NPI number for Dubois Regional Med Center - Penn Highlands Family Med St Marys 94150 is 1043687213. It was assigned to this organization in the NPPES registry on August 24, 2015. The provider is doing business as Penn Highlands Dubois.

Where is Dubois Regional Med Center - Penn Highlands Family Med St Marys 94150 located?

Dubois Regional Med Center - Penn Highlands Family Med St Marys 94150 is located at 761 Johnsonburg Rd Suite 220, Saint Marys, PA 15857. The listed phone number is (814) 834-2850.

What is Dubois Regional Med Center - Penn Highlands Family Med St Marys 94150's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Dubois Regional Med Center - Penn Highlands Family Med St Marys 94150 hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Dubois Regional Med Center - Penn Highlands Family Med St Marys 94150 was last updated on August 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.