Organization
MONONGAHELA VALLEY HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE J RUSNOCK (VP/CONTROLLER)
(724) 258-1160
Entity
Organization
Contact information
Practice address
1163 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063-1095
(724) 258-1000
(724) 258-1394
Mailing address
1163 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063-1095
(724) 258-1000
(724) 258-1394
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD4650
PALMETTO GBA
GA
Enumeration date
03/15/2007
Last updated
02/03/2015
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