NPIMap

Organization Active NPI

Sharon Regional Health System

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hermitage, PA
National Provider Identifier
1457370850
Registry record updated Oct 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
404840 Issued in PA
Legal business name
SHARON REGIONAL HEALTH SYSTEM
Practice address
2375 Garden Way
Hermitage, PA 16148-5209
Phone
(724) 983-5494
Fax
(724) 983-5428
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2007

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

Authorized official

Name
Mr. Jeff A Chrobak
Title
Vice President for Finance
Phone
(724) 983-3815

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 404840
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 404840 PA Primary
Adult Mental Health Clinic/Center 261QM0850X 404840 PA
Adolescent and Children Mental Health Clinic/Center 261QM0855X 404840 PA

Addresses

Primary practice location

2375 Garden Way
Hermitage, PA 16148-5209

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
1000000590063MedicaidPA
1000000590069MedicaidPA
1000000590031MedicaidPA

Other names 1

  • SRHS Outpatient Psych & Wraparound Other name

National Provider Directory

National Provider Directory
Tax ID family
Sharon Regional Health26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193443200000",
    "number": "1457370850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 E STATE ST",
            "address_2": "SRHS BUSINESS OFFICE",
            "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": "2375 GARDEN WAY",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161485209",
            "telephone_number": "724-983-5494",
            "fax_number": "724-983-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON REGIONAL HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-10-27",
        "status": "A",
        "authorized_official_last_name": "CHROBAK",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT FOR FINANCE",
        "authorized_official_telephone_number": "724-983-3815",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": "404840",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "404840",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "404840",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "404840",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000000590063",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000000590069",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000000590031",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SRHS Outpatient Psych & Wraparound",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; 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.