NPIMap

Organization Active NPI

Sharon Pennsylvania Hospital Company LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Sharon, PA
National Provider Identifier
1003233818
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
404840 Issued in PA
Legal business name
SHARON PENNSYLVANIA HOSPITAL COMPANY LLC
Practice address
740 E State St
Sharon, PA 16146-3328
Phone
(724) 983-3924
Fax
(724) 983-3843
NPI assigned
Mar 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laurie Holtsford
Title
Authorized Official
Phone
(615) 465-7466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 404840 PA Primary

Addresses

Primary practice location

740 E State St
Sharon, PA 16146-3328

Mailing address

699 E State St
Sharon, PA 16146-2057
Phone (724) 983-3817

Other identifiers 1

IdentifierTypeStateIssuer
1221OtherHIGHMARK SUBSTANCE ABUSE

Other names 1

  • SRHS Substance Abuse Facility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sharon Pennsylvania Hospital Company LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1003233818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 E STATE ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161462057",
            "telephone_number": "724-983-3817",
            "fax_number": "724-983-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E STATE ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161463328",
            "telephone_number": "724-983-3924",
            "fax_number": "724-983-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON PENNSYLVANIA HOSPITAL COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PA",
            "license": "404840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK SUBSTANCE ABUSE",
            "identifier": "1221",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SRHS Substance Abuse Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sharon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.