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General NPI Number Information
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NPI Number | 1659489631
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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 | 08/29/2006
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 1200 JD ANDERSON DRIVE
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City | MORGANTOWN
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State | WV
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Zip | 26505
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Country | US
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Telephone | 304-598-1560
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Fax | 304-598-1699
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Provider Business Mailing Address
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Address Line | PO BOX 1615
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City | MORGANTOWN
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State | WV
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Zip | 26507-1615
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Country | US
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Telephone | 304-598-1560
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Fax | 304-598-1699
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | CLYDE R 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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 35
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 35
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 51D0236653
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State | WV
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Taxonomy #5
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 35
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License Number State | WV
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