Provider Demographics
NPI:1154122026
Name:WARREN GENERAL HOSPITAL
Entity type:Organization
Organization Name:WARREN GENERAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:MACDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-788-8743
Mailing Address - Street 1:2 W CRESCENT PARK
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-2111
Mailing Address - Country:US
Mailing Address - Phone:814-723-3300
Mailing Address - Fax:
Practice Address - Street 1:15 FOREST STREET
Practice Address - Street 2:
Practice Address - City:SUGAR GROVE
Practice Address - State:PA
Practice Address - Zip Code:16350
Practice Address - Country:US
Practice Address - Phone:814-489-3875
Practice Address - Fax:814-489-3962
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WARREN GENERAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health