Provider Demographics
NPI:1285697268
Name:SHARON REGIONAL HEALTH SYSTEM
Entity type:Organization
Organization Name:SHARON REGIONAL HEALTH SYSTEM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR BUSINESS OFFICE OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCKEE
Authorized Official - Suffix:
Authorized Official - Credentials:CPAM
Authorized Official - Phone:724-983-3817
Mailing Address - Street 1:32 JEFFERSON AVE STE 205
Mailing Address - Street 2:SRHS HOME HEALTH AGENCY
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-3347
Mailing Address - Country:US
Mailing Address - Phone:724-983-3875
Mailing Address - Fax:724-983-3902
Practice Address - Street 1:32 JEFFERSON AVE STE 205
Practice Address - Street 2:SRHS HOME HEALTH AGENCY
Practice Address - City:SHARON
Practice Address - State:PA
Practice Address - Zip Code:16146-3347
Practice Address - Country:US
Practice Address - Phone:724-983-3875
Practice Address - Fax:724-983-3902
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHARON REGIONAL HEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-04-10
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA710205251B00000X, 251E00000X, 251F00000X, 251J00000X, 251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0235427Medicaid
PA1024667OtherGATEWAY
PA0748OtherBLUE CROSS
PA1000000590026Medicaid
13178OtherAETNA
156717OtherANTHEM
300046OtherVALUE OPTIONS/HEALTH AMER
74525OtherUNSION
OH0235427Medicaid
=========015OtherHEALTHNET/TRICARE
PA397102Medicare ID - Type Unspecified