Healthcare Provider Details

I. General information

NPI: 1285697268
Provider Name (Legal Business Name): SHARON REGIONAL HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 12/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 JEFFERSON AVE STE 205 SRHS HOME HEALTH AGENCY
SHARON PA
16146-3347
US

IV. Provider business mailing address

32 JEFFERSON AVE STE 205 SRHS HOME HEALTH AGENCY
SHARON PA
16146-3347
US

V. Phone/Fax

Practice location:
  • Phone: 724-983-3875
  • Fax: 724-983-3902
Mailing address:
  • Phone: 724-983-3875
  • Fax: 724-983-3902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number710205
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number710205
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number710205
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number710205
License Number StatePA
# 5
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number710205
License Number StatePA

VIII. Authorized Official

Name: MRS. BARBARA L MCKEE
Title or Position: DIRECTOR BUSINESS OFFICE OPERATIONS
Credential: CPAM
Phone: 724-983-3817