MEDICARE: MON VALLEY COMMUNITY HEALTH SERVICES, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251K00000X	Public Health or Welfare Agency
2	363LP2300X	Primary Care Nurse Practitioner
3	363LX0001X	Obstetrics & Gynecology Nurse Practitioner
4	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821084039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MON VALLEY COMMUNITY HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	2 EASTGATE AVE STE 101
Second Line	:
City	:	MONESSEN
State	:	PA
Zip	:	15062-1392
Country	:	US
Telephone Number	:	724-684-8999
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 EASTGATE AVE STE 101
Second Line	:
City	:	MONESSEN
State	:	PA
Zip	:	15062-1392
Country	:	US
Telephone Number	:	724-684-8999
Fax Number	:	724-684-7073

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. KELLIE MCKEVITT
Credential	:
Telephone Number	:	724-489-9100

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	05/20/2020

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Directions to “MON VALLEY COMMUNITY HEALTH SERVICES, INC ” Practice Location

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