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Organization
MONONGAHELA VALLEY HOSPITAL, INC.
Active
Organization
MONONGAHELA VALLEY HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE J. RUSNOCK (VICE PRESIDENT/CONTROLLER)
(724) 258-1160
Entity
Organization
Contact information
Practice address
1163 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063-1095
(724) 258-1160
(724) 258-1394
Mailing address
1163 COUNTRY CLUB ROAD, ROUTE 88, MONONGAHELA, PA 15063-1095
(724) 258-1160
(724) 258-1394
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
137001
PA
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390147
COMMUNITY CARE BEHAVIORAL HEALTH CCBH
PA
Enumeration date
02/16/2006
Last updated
05/15/2024
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