Healthcare Provider Details

I. General information

NPI: 1023028073
Provider Name (Legal Business Name): SHARON REGIONAL HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 08/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 E STATE ST
SHARON PA
16146-3328
US

IV. Provider business mailing address

699 E STATE ST
SHARON PA
16146-2057
US

V. Phone/Fax

Practice location:
  • Phone: 724-983-3924
  • Fax: 724-983-5661
Mailing address:
  • Phone: 724-983-3817
  • Fax: 724-983-3941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number404840
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number940470
License Number StatePA

VIII. Authorized Official

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