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Organization
MONONGALIA COUNTY GENERAL HOSPITAL COMPANY
Active
Organization
MONONGALIA COUNTY GENERAL HOSPITAL COMPANY
Active
Other names
MON HEALTH MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
CLYDE R SCHERICH (VP OF FINANCE)
(304) 598-1204
Entity
Organization
Contact information
Practice address
1200 JD ANDERSON DRIVE, MORGANTOWN, WV 26505
(304) 598-1560
(304) 598-1699
Mailing address
PO BOX 1615, MORGANTOWN, WV 26507-1615
(304) 598-1560
(304) 598-1699
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
35
WV
261QA1903X
Ambulatory Surgical Clinic/Center
35
WV
282N00000X
General Acute Care Hospital
Primary
35
WV
291U00000X
Clinical Medical Laboratory
51D0236653
WV
3336I0012X
Institutional Pharmacy
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001360000
—
WV
05
—
0001360001
—
WV
01
—
000301542
MT STATE BCBS
WV
05
—
1007552420002
—
PA
05
—
1007552420005
—
PA
Enumeration date
08/29/2006
Last updated
01/23/2025
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