Healthcare Provider Details

I. General information

NPI: 1477617173
Provider Name (Legal Business Name): SHARON REGIONAL HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 11/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2380 HIGHLAND RD
HERMITAGE PA
16148-2819
US

IV. Provider business mailing address

699 E STATE ST
SHARON PA
16146-2057
US

V. Phone/Fax

Practice location:
  • Phone: 724-983-3960
  • Fax: 724-983-5565
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 Number196601
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

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