Organization
WARREN GENERAL HOSPITAL
Active
Other names
Cancer Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE SNYDER (EXEC DIR FISCAL SERVICES)
(814) 723-3300
Entity
Organization
Contact information
Practice address
105 LEE STREET, WARREN, PA 16365-2114
(814) 726-1786
(814) 723-0414
Mailing address
2 CRESCENT PARK WEST, WARREN, PA 16365-2111
(814) 723-3300
(814) 723-8515
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
490401
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1423929
HIGHMARK BCBS
PA
01
—
56609
UNISON
PA
Enumeration date
06/13/2006
Last updated
05/11/2020
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