Healthcare Provider Details

I. General information

NPI: 1407668916
Provider Name (Legal Business Name): MONONGALIA COUNTY GENERAL HOSPITAL COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2025
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 MON HEALTH MEDICAL PARK DR STE 3300
MORGANTOWN WV
26505-1170
US

IV. Provider business mailing address

1200 J D ANDERSON DR
MORGANTOWN WV
26505-3494
US

V. Phone/Fax

Practice location:
  • Phone: 304-599-1448
  • Fax:
Mailing address:
  • Phone: 304-598-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207VB0002X
TaxonomyObesity Medicine (Obstetrics & Gynecology) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: RICK SCHERICH
Title or Position: VP OF FINANCE
Credential:
Phone: 304-598-1204