NPIMap

Organization Active NPI

Monongahela Valley Hospital, Inc.

  • Rehabilitation Hospital Unit
  • Monongahela, PA
National Provider Identifier
1174598858
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
MONONGAHELA VALLEY HOSPITAL, INC.
Practice address
1163 Country Club Road
Monongahela, PA 15063-1095
Phone
(724) 258-1160
Fax
(724) 258-1394
NPI assigned
Feb 17, 2006
Last updated
Dec 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Lawrence J. Rusnock
Title
Vice President/Controller
Phone
(724) 258-1160

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 137001 PA
Rehabilitation Hospital Unit 273Y00000X NU Primary

Addresses

Primary practice location

1163 Country Club Road
Monongahela, PA 15063-1095

Mailing address

1163 Country Club Road
Monongahela, PA 15063-1095
Phone (724) 258-1160

Other identifiers 3

IdentifierTypeStateIssuer
56178OtherPAUNISON
961OtherPAHIGHMARK
100738887 0011MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040301000802 PA Part B Supplier - Clinic/Group Practice 0143117606 Receives reassigned benefits from 56 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Connellsville, PA; Rostraver TWP, PA; Monongahela, PA
O20061107000295 PA Part A Provider - Hospital 0143117606 Practice locations: Monongahela, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174598858. Details of each certification follow.

Hospital certification: CCN 39T147

Legal name
MONONGAHELA VALLEY HOSPITAL INC
Organization structure
CorporationNon-profit
Incorporated
Apr 17, 1972 in PA
Enrollment address
1163 Country Club Road
Monongahela, PA 15063-1095
Hospital Rehabilitation Unit
Hospital subgroups
General, Psychiatric unit, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Monongahela Valley HospitalCCN 39T147 · All quality measures
Ownership
Non-profit
Certified
Jul 1, 1988

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jourdan D Strishock Individual Corporate Director Aug 1, 2021
Thomas a Carnevale Individual Corporate Director Jul 1, 2021
Fred Price Individual Corporate Director Jul 1, 2022
Penn Highlands Healthcare, Inc. Organization, Du Bois, PA Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2021 100%
Operational/Managerial Control Oct 1, 2021 100%
Robert W O'Leary Individual Corporate Director Jul 1, 2021
Joanne Ryan Individual Corporate Director Jul 1, 2022
David Lezzer Individual Corporate Director Jul 1, 2021
James E Devlin Individual Corporate Director Jul 1, 2022
Lawrence Kiefer Individual Corporate Director Jul 1, 2022
Todd P Stoltz Individual Corporate Director Jul 1, 2022
Carlyn Belczyk Individual Corporate Director Oct 1, 2021
Samuel Lewis Individual Corporate Director Feb 1, 2021
Bradley Bassi Individual Corporate Director Oct 1, 2021
Richard L Pfingstler Individual Corporate Director Jul 1, 2021
Donald E Conrad Individual Corporate Director Jul 1, 2021
Scott H Foradora Individual Corporate Director Jul 1, 2020
Mark Norman Individual Contracted Managing EmployeeCoo Jul 1, 2016
Corporate OfficerCoo Jul 1, 2016
William H Young Individual Corporate Director Jul 1, 2021
Mark McGinley Individual Corporate Director Oct 1, 2021
James B Ryan Individual Corporate Director Jul 1, 2020
Brian S Kline Individual Contracted Managing EmployeeCfo Jul 1, 2024
Corporate OfficerCfo Jul 1, 2024

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 16

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 16

Practitioners & affiliated clinicians

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1174598858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 COUNTRY CLUB ROAD",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631095",
            "telephone_number": "724-258-1160",
            "fax_number": "724-258-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 COUNTRY CLUB ROAD",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631095",
            "telephone_number": "724-258-1160",
            "fax_number": "724-258-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONONGAHELA VALLEY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "RUSNOCK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VICE PRESIDENT/CONTROLLER",
        "authorized_official_telephone_number": "724-258-1160",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "PA",
            "license": "137001",
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "56178",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "961",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100738887 0011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monongahela, PA

Sources for this page

Verify at the official NPI Registry.