Provider Demographics
| NPI: | 1184672214 |
|---|---|
| Name: | SHARON REGIONAL HEALTH SYSTEM |
| Entity Type: | Organization |
| Organization Name: | SHARON REGIONAL HEALTH SYSTEM |
| Other - Org Name: | SHARON GENERAL HOSPITAL |
| Other - Org Type: | Former Legal Business Name |
| Authorized Official - Title/Position: | VICE PRESIDENT FOR FINANCE |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | JEFF |
| Authorized Official - Middle Name: | A |
| Authorized Official - Last Name: | CHROBAK |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 724-983-3815 |
| Mailing Address - Street 1: | 699 E STATE ST |
| Mailing Address - Street 2: | SRHS BUSINESS OFFICE |
| Mailing Address - City: | SHARON |
| Mailing Address - State: | PA |
| Mailing Address - Zip Code: | 16146-2057 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 724-983-3817 |
| Mailing Address - Fax: | 724-983-3941 |
| Practice Address - Street 1: | 740 E STATE ST |
| Practice Address - Street 2: | |
| Practice Address - City: | SHARON |
| Practice Address - State: | PA |
| Practice Address - Zip Code: | 16146-3328 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 724-983-3911 |
| Practice Address - Fax: | 724-983-3941 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2006-05-04 |
| Last Update Date: | 2008-04-20 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| 103T00000X, 207Q00000X, 207RH0003X, 207RS0012X, 207ZP0101X, 2084P0800X, 2084P0804X | ||
| PA | 196601 | 282N00000X |
| PA | 000064 | 291U00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 282N00000X | Hospitals | General Acute Care Hospital | Group - Multi-Specialty | |
| No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
| No | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
| No | 207RH0003X | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | Group - Multi-Specialty |
| No | 207RS0012X | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine | Group - Multi-Specialty |
| No | 207ZP0101X | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology | Group - Multi-Specialty |
| No | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Multi-Specialty |
| No | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry | Group - Multi-Specialty |
| No | 291U00000X | Laboratories | Clinical Medical Laboratory | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| 237937 | Other | HEALTH AMERICA/HEALTH ASS | |
| 3398287 | Other | AETNA HMOS - PCP GROUP | |
| PA | CI5033 | Other | RAILROAD MEDICARE GROUP |
| PA | 1000000590075 | Medicaid | |
| 1024665 | Other | GATEWAY | |
| OH | 7986407 | Medicaid | |
| PA | 0041 | Other | BLUE CROSS |
| 149868 | Other | HEALTH AMERICA/HEALTH ASS | |
| PA | 1969743 | Other | HIGHMARK ASN ACCT - SLEEP |
| 3409529 | Other | AETNA HMOS - PATHOLOGY GR | |
| 60397 | Other | UNISON | |
| 000000156718 | Other | ANTHEM | |
| 7938563 | Other | AETNA PPOS - PATHOLOGY GR | |
| 3504416 | Other | AETNA HMOS - ONCOLOGY GRO | |
| PA | 390211 | Other | BUREAU OF WORKERS COMP |
| 390211 | Other | HEALTH AMERICA | |
| 9926 | Other | VALUE OPTIONS | |
| PA | CI5033 | Other | RAILROAD MEDICARE GROUP |
| PA | 1000000590075 | Medicaid | |
| 60397 | Other | UNISON |
