Healthcare Provider Details

I. General information

NPI: 1386607125
Provider Name (Legal Business Name): SHARON REGIONAL HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 HIGHLAND RD CANCER CARE CENTER
HERMITAGE PA
16148-2819
US

IV. Provider business mailing address

699 E STATE ST SRHS BUSINESS OFFICE
SHARON PA
16146-2057
US

V. Phone/Fax

Practice location:
  • Phone: 724-983-3878
  • Fax: 724-983-5949
Mailing address:
  • Phone: 724-983-3820
  • Fax: 724-983-3941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number153999
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number153999
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number153999
License Number StatePA

VIII. Authorized Official

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