# WARREN GENERAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WARREN GENERAL HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265421721
- **Legal business name:** WARREN GENERAL HOSPITAL
- **Authorized official:** JULIE JACOBS (EXEC. DIRECTOR FISCAL SERVICES)
- **Authorized official phone:** (814) 723-3300

## Contact information

- **Practice address:** TWO CRESCENT PARK W, WARREN, PA 16365-0068
- **Practice address phone:** (814) 723-3300
- **Practice address fax:** (814) 723-8515
- **Mailing address:** 2 CRESCENT PARK WEST, WARREN, PA 16365-2111
- **Mailing address phone:** (814) 723-3300
- **Mailing address fax:** (814) 723-8515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273R00000X | Psychiatric Hospital Unit | 940570 | PA | Yes |

## Other

- **Enumeration date:** 10/18/2005
- **Last updated:** 05/11/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00011455501 | UNIVERA | — |
| 01 | — | 0929 | BLUE CROSS | PA |
| 05 | — | 1007284970014 | — | PA |
| 01 | — | 105201 | UPMC | — |