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Organization
WARREN GENERAL HOSPITAL
Active
Organization
WARREN GENERAL HOSPITAL
Active
Parent organization
WARREN GENERAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
WARREN GENERAL HOSPITAL
Authorized official
JULIE JACOBS (EXEC. DIRECTOR FISCAL SERVICES)
(814) 723-3300
Entity
Organization
Contact information
Practice address
TWO CRESCENT PARK W, WARREN, PA 16365-0068
(814) 723-3300
(814) 723-8515
Mailing address
2 CRESCENT PARK WEST, WARREN, PA 16365-2111
(814) 723-3300
(814) 723-8515
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
940570
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011455501
UNIVERA
—
01
—
0929
BLUE CROSS
PA
05
—
1007284970014
—
PA
01
—
105201
UPMC
—
Enumeration date
10/18/2005
Last updated
05/11/2020
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