Basic Information
| Provider Information | |||||||||
| NPI: | 1417481334 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | STEWARD SHARON REGIONAL HEALTH SYSTEM, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1900 N PEARL ST STE 2400 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752012470 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4693418800 | ||||||||
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| Practice Location | |||||||||
| Address1: | 740 E STATE ST | ||||||||
| Address2: | |||||||||
| City: | SHARON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 161463328 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7249833892 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2017 | ||||||||
| LastUpdateDate: | 06/04/2019 | ||||||||
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| AuthorizedOfficialLastName: | DOYLE | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
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| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 4693418804 | ||||||||
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| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | STEWARD SHARON REGIONAL HEALTH SYSTEM, INC. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | 196602 | PA | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.