Provider Demographics
NPI:1285978387
Name:WARREN MEMORIAL HOSPITAL INC.
Entity type:Organization
Organization Name:WARREN MEMORIAL HOSPITAL INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:NOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-636-3298
Mailing Address - Street 1:1077 N SHENANDOAH AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-3546
Mailing Address - Country:US
Mailing Address - Phone:540-636-0627
Mailing Address - Fax:540-636-0629
Practice Address - Street 1:1077 N SHENANDOAH AVE
Practice Address - Street 2:SUITE B
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-3546
Practice Address - Country:US
Practice Address - Phone:540-636-0627
Practice Address - Fax:540-636-0629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty