Provider Demographics
NPI:1316982341
Name:WARREN HEALTHCARE ASSOCIATES, INC
Entity type:Organization
Organization Name:WARREN HEALTHCARE ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & MD
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:MALJOVEC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-723-2323
Mailing Address - Street 1:14 PLUMBER ST
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-1202
Mailing Address - Country:US
Mailing Address - Phone:814-723-2323
Mailing Address - Fax:814-726-3337
Practice Address - Street 1:14 PLUMBER ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-1202
Practice Address - Country:US
Practice Address - Phone:814-723-2323
Practice Address - Fax:814-726-3337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015086910002Medicaid
PA476038OtherBLUE CROSS BLUE SHIELD
PA110971OtherUNISON
PA0015086910002Medicaid