Healthcare Provider Details
I. General information
NPI: 1518813195
Provider Name (Legal Business Name): MONONGAHELA VALLEY HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/06/2026
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1163 COUNTRY CLUB RD
MONONGAHELA PA
15063-1013
US
IV. Provider business mailing address
1163 COUNTRY CLUB RD
MONONGAHELA PA
15063-1013
US
V. Phone/Fax
- Phone: 724-258-1966
- Fax: 724-258-1784
- Phone: 724-797-9770
- Fax: 724-379-4095
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0203X |
| Taxonomy | Therapeutic Radiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRIAN
S
KLINE
Title or Position: VP/AO
Credential:
Phone: 814-375-6377