Mon Health Medical Center | |
2501 Deep Creek Dr Ste 200 Mc Henry MD 21541-1713 | |
(304) 636-5006 | |
(304) 636-4898 |
Full Name | Mon Health Medical Center |
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Speciality | Clinic/Center |
Location | 2501 Deep Creek Dr Ste 200, Mc Henry, Maryland |
Authorized Official Name and Position | Clyde R Scherich (VP OF FINANCE) |
Authorized Official Contact | 3045981204 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mon Health Medical Center Po Box 1615 Morgantown WV 26507-1615 Ph: (304) 598-1200 | Mon Health Medical Center 2501 Deep Creek Dr Ste 200 Mc Henry MD 21541-1713 Ph: (304) 636-5006 |
NPI Number | 1538592043 |
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Provider Enumeration Date | 08/20/2013 |
Last Update Date | 12/02/2022 |
Medicare PECOS PAC ID | 9638073380 |
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Medicare Enrollment ID | O20140519000565 |
Identifier | Type | State | Issuer |
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1538592043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 35 (West Virginia) | Primary |
Provider Name | Morgan H Lyons |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1154418176 PECOS PAC ID: 4789666322 Enrollment ID: I20110105000307 |
Provider Name | Kenneth G Judson |
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Provider Type | Practitioner - Cardiac Electrophysiology |
Provider Identifiers | NPI Number: 1770525891 PECOS PAC ID: 2961434071 Enrollment ID: I20160204000563 |
Provider Name | Ghulam Abbas |
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Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1003887407 PECOS PAC ID: 6800867854 Enrollment ID: I20171128000077 |
Provider Name | Samantha Jane Crites |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1679898290 PECOS PAC ID: 7810299633 Enrollment ID: I20180924001280 |
Provider Name | Matthew D Gaskill |
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Provider Type | Practitioner - Cardiac Electrophysiology |
Provider Identifiers | NPI Number: 1467716159 PECOS PAC ID: 0648599332 Enrollment ID: I20201208000522 |
Upmc Western Maryland Health Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23789 Garrett Hwy, Mc Henry, MD 21541 Phone: 240-488-4139 |