Organization
MAMMOGRAM SCREENINGS WARREN GEN HOSP
Active
Parent organization
WARREN GENERAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
WARREN GENERAL HOSPITAL
Authorized official
JULE SNYDER (EXEC DIR FISCAL SERVICES)
(814) 723-3300
Entity
Organization
Contact information
Practice address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-4973
(814) 723-8515
Mailing address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-4973
(814) 723-8515
Taxonomy
Speciality
Code
Description
License number
State
2471M2300X
Mammography Radiologic Technologist
Primary
490401
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
754792
HIGHMARK
PA
Enumeration date
06/12/2006
Last updated
05/11/2020
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