Monongahela Valley Hospital, Inc. | |
1163 Country Club Road Monongahela PA 15063-1095 | |
(724) 258-1160 | |
(724) 258-1394 |
Full Name | Monongahela Valley Hospital, Inc. |
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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 |
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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 |
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Provider Enumeration Date | 02/16/2006 |
Last Update Date | 05/15/2024 |
Certification Date | 05/15/2024 |
Medicare PECOS PAC ID | 0143117606 |
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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 | Sadaf Sultana Ijaz |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1609084664 PECOS PAC ID: 0345422978 Enrollment ID: I20110303000253 |
Provider Name | Barbara S Nightingale |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083925903 PECOS PAC ID: 3274844808 Enrollment ID: I20150623001154 |
Provider Name | Kenneth R Sladkin |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1447320049 PECOS PAC ID: 6204989254 Enrollment ID: I20160217001255 |
Provider Name | Patricia Mcentire |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1568425486 PECOS PAC ID: 0840292876 Enrollment ID: I20160509000951 |
Provider Name | Benjamin Luis Egusquiza |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1073889150 PECOS PAC ID: 8426367244 Enrollment ID: I20170710002309 |
Provider Name | Kamali Swaminathan |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1639330483 PECOS PAC ID: 0143499509 Enrollment ID: I20170717002264 |
Provider Name | Ryan Wakim |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1093033789 PECOS PAC ID: 3375702731 Enrollment ID: I20180705001915 |
Provider Name | Nicole Marie Mutnansky |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912459447 PECOS PAC ID: 5496097347 Enrollment ID: I20190425001615 |
Provider Name | Chinenyenwa Onyemaechi |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1396087052 PECOS PAC ID: 9234438433 Enrollment ID: I20191031000936 |
Provider Name | Neilay Amin |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1184087447 PECOS PAC ID: 5496040743 Enrollment ID: I20200715001829 |
Provider Name | Timothy Jason Bullock |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1710367248 PECOS PAC ID: 2860804515 Enrollment ID: I20201222001069 |
Provider Name | Kelly Suchar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831733252 PECOS PAC ID: 5799117149 Enrollment ID: I20220602000959 |
Provider Name | Caitlin Corbitt |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1598055782 PECOS PAC ID: 2163711581 Enrollment ID: I20221027001574 |
Provider Name | Brandy Dix |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659028470 PECOS PAC ID: 1456729979 Enrollment ID: I20221115000169 |
Provider Name | Daniel O Hedayati |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1407380074 PECOS PAC ID: 3779952114 Enrollment ID: I20231003000681 |
Provider Name | Nubia Lluberes Rincon |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083911143 PECOS PAC ID: 0648428243 Enrollment ID: I20231213000188 |
Provider Name | Sherrie Sharp |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083639447 PECOS PAC ID: 5890703987 Enrollment ID: I20231218004333 |
Provider Name | Daniel Kim |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1851705990 PECOS PAC ID: 2062748528 Enrollment ID: I20240221000911 |
Wholelife Integrative Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 W Main St, Monongahela, PA 15063 Phone: 724-986-0479 | |
Sacred. Centered. You, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Carol Ave, Monongahela, PA 15063 Phone: 421-258-0766 | |
Monongahela Valley Hospital, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1163 Country Club Rd, Monongahela, PA 15063 Phone: 724-258-1000 |