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Organization

SHARON PENNSYLVANIA HOSPITAL COMPANY LLC

Active
Other names
SRHS Psychiatric Unit and Clincs
Organization subpart
No

Provider details

NPI number
Authorized official
LAURIE HOLTSFORD (AUTHORIZED OFFICIAL)
(615) 465-7466
Entity
Organization

Contact information

Practice address
740 E STATE ST, SHARON, PA 16146-3328
(724) 983-3924
(724) 983-5661
Mailing address
699 E STATE ST, SHARON, PA 16146-2057
(724) 983-3817
(724) 983-3941

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
404840
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
196601
PA
273R00000X
Psychiatric Hospital Unit
940470
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0925
HIGHMARK PSYCHIATRIC SERVICE
Enumeration date
03/19/2014
Last updated
11/10/2014
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