NPIMap

Organization Active NPI

Monongahela Valley Hospital, Inc.

  • Psychiatric Hospital Unit
  • Monongahela, PA
National Provider Identifier
1316911142
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
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 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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
Psychiatric Hospital Unit 273R00000X 137001 PA
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

1163 Country Club Road
Monongahela, PA 15063-1095

Mailing address

1163 Country Club Road
Route 88
Monongahela, PA 15063-1095
Phone (724) 258-1160

Other identifiers 1

IdentifierTypeStateIssuer
390147OtherPACOMMUNITY CARE BEHAVIORAL HEALTH CCBH

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
O20230221001244 PA Part B Supplier - Hospital Department(S) 0143117606 Receives reassigned benefits from 16 practitioners
Practice locations: Monongahela, PA

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.

National Provider Directory

National Provider Directory

Locations

1163 Country Club Rd
#88
Monongahela, PA 15063
Phone (724) 258-1000

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1316911142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 COUNTRY CLUB ROAD",
            "address_2": "ROUTE 88",
            "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": "2006-02-16",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "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": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "PA",
            "license": "137001",
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CARE BEHAVIORAL HEALTH CCBH",
            "identifier": "390147",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monongahela, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.