Healthcare Provider Details

I. General information

NPI: 1932128899
Provider Name (Legal Business Name): SHARON REGIONAL HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 08/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 MAIN ST
GREENVILLE PA
16125-2608
US

IV. Provider business mailing address

699 E STATE ST
SHARON PA
16146-2057
US

V. Phone/Fax

Practice location:
  • Phone: 724-588-7814
  • Fax: 724-588-7986
Mailing address:
  • Phone: 724-983-3817
  • Fax: 724-983-3941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number437022
License Number State

VIII. Authorized Official

Name: MR. JEFF A CHROBAK
Title or Position: VICE PRESIDENT, FINANCE
Credential:
Phone: 724-983-3815