Provider Demographics
NPI:1881650380
Name:MONVIEW FAMILY MEDICAL CENTER, P.C.
Entity Type:Organization
Organization Name:MONVIEW FAMILY MEDICAL CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:EISLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:724-258-2070
Mailing Address - Street 1:447 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MONONGAHELA
Mailing Address - State:PA
Mailing Address - Zip Code:15063-2564
Mailing Address - Country:US
Mailing Address - Phone:724-258-2070
Mailing Address - Fax:724-258-3582
Practice Address - Street 1:447 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MONONGAHELA
Practice Address - State:PA
Practice Address - Zip Code:15063-2564
Practice Address - Country:US
Practice Address - Phone:724-258-2070
Practice Address - Fax:724-258-3582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-24
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003714L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1881650380OtherNPI
PA0018256700002Medicaid
PACI8927OtherRAILROAD MEDICARE
PA0018256700002Medicaid