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NPI 1588476030

NPI 1588476030 : MONONGALIA COUNTY GENERAL HOSPITAL COMPANY : FAIRMONT, WV

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General NPI Number Information
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    NPI Number           |    1588476030
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    Entity Type          |    Organization 
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    Legal Business Name  |    MONONGALIA COUNTY GENERAL HOSPITAL COMPANY 
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Dates
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    Enumeration Date     |    01/22/2025
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    Last Update Date     |    01/23/2025
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Provider Practice Location Address
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    Address Line         |    1 HUNTINGTON WAY STE 100 
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    City                 |    FAIRMONT
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    State                |    WV
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    Zip                  |    26554-8819
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    Country              |    US
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    Telephone            |    304-368-2422
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    Fax                  |    304-368-2426
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Provider Business Mailing Address
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    Address Line         |    1200 J D ANDERSON DR 
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    City                 |    MORGANTOWN
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    State                |    WV
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    Zip                  |    26505-3494
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    Country              |    US
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    Telephone            |    304-598-1200
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VP OF FINANCE
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    Name                 |     RICK  SCHERICH 
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    Credential           |    
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    Telephone            |    304-598-1204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RI0011X
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    Taxonomy Name        |    Interventional Cardiology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    208G00000X
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    Taxonomy Name        |    Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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