MEDICARE: MONONGALIA COUNTY GENERAL HOSPITAL COMPANY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician
2	207RI0200X	Infectious Disease Physician

General Provider Information

NPI Number	:	1912719469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONONGALIA COUNTY GENERAL HOSPITAL COMPANY

Provider Business Mailing Address
First Line	:	1200 J D ANDERSON DR
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-3494
Country	:	US
Telephone Number	:	304-598-1200
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 MON HEALTH MEDICAL PARK DR STE 3201
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-1170
Country	:	US
Telephone Number	:	304-285-1460
Fax Number	:	304-285-2739

Authorized Official
Title or Position	:	VP OF FINANCE
Name	:	RICK SCHERICH
Credential	:
Telephone Number	:	304-598-1204

Provider Enumeration Date	:	01/22/2025
Last Update Date	:	01/22/2025

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