Healthcare Provider Details

I. General information

NPI: 1336673250
Provider Name (Legal Business Name): STEWARD SHARON REGIONAL HEALTH SYSTEM, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2017
Last Update Date: 06/04/2019
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

111 HUNTINGTON AVE
BOSTON MA
02199-7610
US

V. Phone/Fax

Practice location:
  • Phone: 724-983-3817
  • Fax:
Mailing address:
  • Phone: 617-419-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number196601
License Number StatePA

VIII. Authorized Official

Name: JOHN DOYLE
Title or Position: CFO
Credential:
Phone: 469-341-8804