Organization Active NPI

Sharon Regional Health System

  • Rural Health Clinic/Center
  • Mercer, PA
National Provider Identifier
1982653176
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
196601 Issued in PA
Legal business name
SHARON REGIONAL HEALTH SYSTEM
Practice address
551 Greenville Rd
SRHS Mercer Family Medicine Center
Mercer, PA 16137-5019
Phone
(724) 662-4155
Fax
(724) 662-2352
NPI assigned
May 8, 2006
Organization subpart
Yes
Parent organization
SHARON REGIONAL HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 196601 PA Primary

Addresses

Primary practice location

551 Greenville Rd
SRHS Mercer Family Medicine Center
Mercer, PA 16137-5019

Mailing address

699 E State St
SRHS Mercer Family Medicine Center
Sharon, PA 16146-2057
Phone (724) 983-3820

Other identifiers 1

IdentifierTypeStateIssuer
1000000590051MedicaidPA

Other names 1

  • SRHS Mercer Family Medicine Center Doing business as

National Provider Directory

National Provider Directory
Part of
Sharon Regional Health

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1982653176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 E STATE ST",
            "address_2": "SRHS MERCER FAMILY MEDICINE CENTER",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161462057",
            "telephone_number": "724-983-3820",
            "fax_number": "724-983-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 GREENVILLE RD",
            "address_2": "SRHS MERCER FAMILY MEDICINE CENTER",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "161375019",
            "telephone_number": "724-662-4155",
            "fax_number": "724-662-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON REGIONAL HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHARON REGIONAL HEALTH SYSTEM",
        "enumeration_date": "2006-05-08",
        "last_updated": "2007-08-15",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "PA",
            "license": "196601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000000590051",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SRHS Mercer Family Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mercer, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.