1285697268 NPI number — SHARON REGIONAL HEALTH SYSTEM

Table of content: (NPI 1285697268)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285697268 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 REGIONAL HEALTH SYSTEM HOME HEALTH AGENCY
Provider Other Organization Name Type Code:
3
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:
1285697268
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/03/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
32 JEFFERSON AVE STE 205
Provider Second Line Business Mailing Address:
SRHS HOME HEALTH AGENCY
Provider Business Mailing Address City Name:
SHARON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16146-3347
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-983-3875
Provider Business Mailing Address Fax Number:
724-983-3902

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
32 JEFFERSON AVE STE 205
Provider Second Line Business Practice Location Address:
SRHS HOME HEALTH AGENCY
Provider Business Practice Location Address City Name:
SHARON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16146-3347
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-983-3875
Provider Business Practice Location Address Fax Number:
724-983-3902
Provider Enumeration Date:
04/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MCKEE
Authorized Official First Name:
BARBARA
Authorized Official Middle Name:
L
Authorized Official Title or Position:
DIRECTOR BUSINESS OFFICE OPERATIONS
Authorized Official Telephone Number:
724-983-3817

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X , with the licence number:  710205 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X , with the licence number: 710205 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251F00000X , with the licence number: 710205 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251J00000X , with the licence number: 710205 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251V00000X , with the licence number: 710205 , 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: 0235427 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1024667 . This is a "GATEWAY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0748 . This is a "BLUE CROSS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1000000590026 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 13178 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 156717 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 300046 . This is a "VALUE OPTIONS/HEALTH AMER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 74525 . This is a "UNSION" identifier . This identifiers is of the category "OTHER".




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