Healthcare Provider Details

I. General information

NPI: 1053351619
Provider Name (Legal Business Name): SHARON REGIONAL HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 08/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551 GREENVILLE RD SRHS MERCER FAMILY MEDICINE CENTER
MERCER PA
16137-5019
US

IV. Provider business mailing address

699 E STATE ST
SHARON PA
16146-2057
US

V. Phone/Fax

Practice location:
  • Phone: 724-662-4155
  • Fax: 724-662-2352
Mailing address:
  • Phone: 724-983-3817
  • Fax: 724-983-3941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

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