Basic Information
| Provider Information | |||||||||
| NPI: | 1396142865 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SHARON PENNSYLVANIA HOSPITAL COMPANY, LLC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | MERCER FAMILY MEDICINE CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 689022 | ||||||||
| Address2: | |||||||||
| City: | FRANKLIN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370689022 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7246624155 | ||||||||
| FaxNumber: | 7246622352 | ||||||||
| Practice Location | |||||||||
| Address1: | 551 GREENVILLE RD | ||||||||
| Address2: | |||||||||
| City: | MERCER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 161375019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7246624155 | ||||||||
| FaxNumber: | 7246622352 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/01/2014 | ||||||||
| LastUpdateDate: | 12/08/2014 | ||||||||
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| AuthorizedOfficialLastName: | WRIGHT | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
| AuthorizedOfficialMiddleName: | P | ||||||||
| AuthorizedOfficialTitleorPosition: | SR. DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 6154657587 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.