Organization Active NPI

Mon Valley Community Health Services, Inc

  • Family Medicine Physician
  • Monessen, PA
National Provider Identifier
1821084039
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MON VALLEY COMMUNITY HEALTH SERVICES, INC
Practice address
2 Eastgate Ave Ste 101
Monessen, PA 15062-1392
Phone
(724) 684-8999
Fax
(724) 684-7073
NPI assigned
Sep 22, 2005
Last updated
May 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Authorized official

Name
Ms. Kellie McKevitt
Title
Executive Director
Phone
(724) 489-9100

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU
Primary Care Nurse Practitioner 363LP2300X NU
Obstetrics & Gynecology Nurse Practitioner 363LX0001X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2 Eastgate Ave Ste 101
Monessen, PA 15062-1392

Mailing address

2 Eastgate Ave Ste 101
Monessen, PA 15062-1392
Phone (724) 684-8999

Other identifiers 1

IdentifierTypeStateIssuer
1007285210021MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050418000714 PA Part B Supplier - Clinic/Group Practice 3577501923 Receives reassigned benefits from 4 practitioners
Practice locations: Monessen, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0666534Mon Valley Community Health Services2 Eastgate Avenue, Monessen, PA 15062Certificate of waiverSep 20, 2026

National Provider Directory

National Provider Directory

Locations

2 Eastgate Ave
Monessen, PA 15062
Phone (724) 684-6489

2 Eastgate Ave
Ste 1
Monessen, PA 15062
Phone (724) 684-8999

2 Eastgate Ave
Ste 101
Monessen, PA 15062
Phone (724) 314-3015

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1821084039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EASTGATE AVE STE 101",
            "city": "MONESSEN",
            "state": "PA",
            "postal_code": "150621392",
            "telephone_number": "724-684-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EASTGATE AVE STE 101",
            "city": "MONESSEN",
            "state": "PA",
            "postal_code": "150621392",
            "telephone_number": "724-684-8999",
            "fax_number": "724-684-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MON VALLEY COMMUNITY HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "MCKEVITT",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "724-489-9100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007285210021",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monessen, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.