Organization
MON-VALE ONCOLOGY, INC.
Active
Parent organization
MONONGAHELA VALLEY HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONONGAHELA VALLEY HOSPITAL
Authorized official
MRS. JOURDAN STRISHOCK (DELEGATED OFFICIAL/AUTHORIZED OFFIC)
(814) 375-6160
Entity
Organization
Contact information
Practice address
1163 COUNTRY CLUB RD, MONONGAHELA, PA 15063-1013
(724) 292-9404
(724) 292-9155
Mailing address
100 HOSPITAL AVE, ATTN PROVIDER ENROLLMENT, DUBOIS, PA 15801-1440
(724) 986-0698
(814) 372-2676
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085188
HEALTH AMERICA/HEALTH ASSURANCE
PA
05
—
1019980110001
—
PA
01
—
130506
UNISON
PA
01
—
1525897
GATEWAY
PA
01
—
2937436
AETNA
PA
Enumeration date
04/18/2011
Last updated
03/26/2024
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