| Monongahela Valley Hospital, Inc. | |
|
1163 Country Club Road Monongahela PA 15063-1095 | |
| (724) 258-1160 | |
| (724) 258-1394 |
| Full Name | Monongahela Valley Hospital, Inc. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1163 Country Club Road, Monongahela, Pennsylvania |
| Authorized Official Name and Position | Lawrence J. Rusnock (VICE PRESIDENT/CONTROLLER) |
| Authorized Official Contact | 7242581160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monongahela Valley Hospital, Inc. 1163 Country Club Road Route 88 Monongahela PA 15063-1095 Ph: (724) 258-1160 | Monongahela Valley Hospital, Inc. 1163 Country Club Road Monongahela PA 15063-1095 Ph: (724) 258-1160 |
| NPI Number | 1316911142 |
|---|---|
| Provider Enumeration Date | 02/16/2006 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Medicare PECOS PAC ID | 0143117606 |
|---|---|
| Medicare Enrollment ID | O20230221001244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316911142 | NPI | - | NPPES |
| 390147 | Other | PA | COMMUNITY CARE BEHAVIORAL HEALTH CCBH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 137001 (Pennsylvania) | Secondary |
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
| Provider Name | Leslie A Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295286524 PECOS PAC ID: 5395019574 Enrollment ID: I20170927001734 |
| Provider Name | Nicole Marie Mutnansky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912459447 PECOS PAC ID: 5496097347 Enrollment ID: I20190425001615 |
| Provider Name | Claire Lane Becker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942869839 PECOS PAC ID: 2264766773 Enrollment ID: I20230714000189 |
| Provider Name | Alonda Taliah Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992559397 PECOS PAC ID: 5698210425 Enrollment ID: I20240716003436 |
| Provider Name | Shamsher Singh Ahluwalia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497943286 PECOS PAC ID: 9537217385 Enrollment ID: I20240812002226 |
| Provider Name | Patricia A Mcnelis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275397101 PECOS PAC ID: 1355889932 Enrollment ID: I20240814000715 |
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