1184672214 NPI number — SHARON REGIONAL HEALTH SYSTEM

Table of content: (NPI 1184672214)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184672214 NPI number — SHARON REGIONAL HEALTH SYSTEM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHARON REGIONAL HEALTH SYSTEM
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SHARON GENERAL HOSPITAL
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184672214
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
699 E STATE ST
Provider Second Line Business Mailing Address:
SRHS BUSINESS OFFICE
Provider Business Mailing Address City Name:
SHARON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16146-2057
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-983-3817
Provider Business Mailing Address Fax Number:
724-983-3941

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
740 E STATE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHARON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16146-3328
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-983-3911
Provider Business Practice Location Address Fax Number:
724-983-3941
Provider Enumeration Date:
05/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CHROBAK
Authorized Official First Name:
JEFF
Authorized Official Middle Name:
A
Authorized Official Title or Position:
VICE PRESIDENT FOR FINANCE
Authorized Official Telephone Number:
724-983-3815

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RH0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RS0012X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207ZP0101X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084P0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084P0804X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X , with the licence number: 196601 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 291U00000X , with the licence number: 000064 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 237937 . This is a "HEALTH AMERICA/HEALTH ASS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3398287 . This is a "AETNA HMOS - PCP GROUP" identifier . This identifiers is of the category "OTHER".
  • Identifier: CI5033 . This is a "RAILROAD MEDICARE GROUP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1000000590075 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1024665 . This is a "GATEWAY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7986407 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0041 . This is a "BLUE CROSS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 149868 . This is a "HEALTH AMERICA/HEALTH ASS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1969743 . This is a "HIGHMARK ASN ACCT - SLEEP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 3409529 . This is a "AETNA HMOS - PATHOLOGY GR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 60397 . This is a "UNISON" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000156718 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7938563 . This is a "AETNA PPOS - PATHOLOGY GR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3504416 . This is a "AETNA HMOS - ONCOLOGY GRO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 390211 . This is a "BUREAU OF WORKERS COMP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 390211 . This is a "HEALTH AMERICA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9926 . This is a "VALUE OPTIONS" identifier . This identifiers is of the category "OTHER".




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