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NPI Code Detail

MEDICARE: MON YOUGH COMMUNITY SERVICES INC

MEDICARE: MON YOUGH COMMUNITY SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1648059OTHERPAHIGHMARK BC/BS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669478764
Entity Type Code : Organization
Provider Name (Legal Business Name) : MON YOUGH COMMUNITY SERVICES INC
Provider Business Mailing Address
First Line : 500 WALNUT ST
Second Line : 3RD FL
City : MCKEESPORT
State : PA
Zip : 15132-2801
Country : US
Telephone Number : 412-675-8530
Fax Number : 412-675-8533
Provider Business Practice Location Address
First Line : 331 SHAW AVE
Second Line :
City : MCKEESPORT
State : PA
Zip : 15132-2918
Country : US
Telephone Number : 413-675-8530
Fax Number : 412-675-8533
Authorized Official
Title or Position : MANAGED CARE COORDINATOR
Name : CATHERINE CONROY
Credential :
Telephone Number : 412-675-8533
Provider Enumeration Date : 06/23/2005
Last Update Date : 12/15/2010

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1922093913 — MARY ALICE BRODBECK LCSW
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1295783512 — WILLIAM CUTLIP
Practice Location Address:
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Practice Fax:
1023055662 — BONNIE JOYCE SAMPSON
Practice Location Address:
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Practice Fax:
1790727782 — MR. KENT ZELLEFROW
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15132-2918
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Directions to “MON YOUGH COMMUNITY SERVICES INC ” Practice Location

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