Provider Demographics
NPI:1942208665
Name:SHARON COMMUNITY HEALTH CENTER
Entity Type:Organization
Organization Name:SHARON COMMUNITY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:GENET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-347-5519
Mailing Address - Street 1:94 W CONNELLY BLVD
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-1754
Mailing Address - Country:US
Mailing Address - Phone:724-347-5519
Mailing Address - Fax:724-342-3267
Practice Address - Street 1:94 W CONNELLY BLVD
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:PA
Practice Address - Zip Code:16146-1754
Practice Address - Country:US
Practice Address - Phone:724-347-5519
Practice Address - Fax:724-342-3267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-08
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007298790004Medicaid
PA1007298790004Medicaid
PA707197Medicare PIN