PENN HIGHLANDS FAMILY MEDICINE - KAKABADZE – NPI #1881614204
Family Medicine

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.

PENN HIGHLANDS FAMILY MEDICINE - KAKABADZE is a provider located in REYNOLDSVILLE, PA. NPPES has assigned the NPI number 1881614204 to PENN HIGHLANDS FAMILY MEDICINE - KAKABADZE on July 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PENN HIGHLANDS FAMILY MEDICINE - KAKABADZE” is a dba name, the actual legal business name for this organization is DUBOIS REGIONAL MEDICAL CENTER. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 12 years ago on Feb 17, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PENN HIGHLANDS FAMILY MEDICINE - KAKABADZE below.

NPI Profile for
DUBOIS REGIONAL MEDICAL CENTER

NPI Number
1881614204
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DUBOIS REGIONAL MEDICAL CENTER
Doing Business As (dba): PENN HIGHLANDS FAMILY MEDICINE - KAKABADZE
Primary location
5 N 3RD ST
REYNOLDSVILLE, PA 15851-1231
Phone: (814) 653-8222 Fax: (814) 653-9305
Mailing address
100 HOSPITAL AVE
DU BOIS, PA 15801-1440
Phone: (814) 653-8222 Fax: (814) 653-9305
Organization Subpart
Yes - PENN HIGHLANDS FAMILY MEDICINE - KAKABADZE is subpart of another organization.
Authorized Official
BRIAN KLINE
VP & CFO
Phone: (814) 375-6377
Updated
Identifiers

Identifiers for PENN HIGHLANDS FAMILY MEDICINE - KAKABADZE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS/BLUE SHIELDPA1728632
MEDICAIDPA1007740880083
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
PA 135501

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.