Provider Demographics
NPI:1811391972
Name:MONONGALIA COUNTY GENERAL HOSPITAL COMPANY
Entity Type:Organization
Organization Name:MONONGALIA COUNTY GENERAL HOSPITAL COMPANY
Other - Org Name:MON HEALTH MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:CLYDE
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHERICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-598-1204
Mailing Address - Street 1:PO BOX 1615
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26507-1615
Mailing Address - Country:US
Mailing Address - Phone:304-598-1560
Mailing Address - Fax:
Practice Address - Street 1:1142 NATIONAL PIKE
Practice Address - Street 2:
Practice Address - City:HOPWOOD
Practice Address - State:PA
Practice Address - Zip Code:15445-2250
Practice Address - Country:US
Practice Address - Phone:724-437-2147
Practice Address - Fax:724-438-2256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-20
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty