MEDICARE: WARREN GENERAL HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1154122026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WARREN GENERAL HOSPITAL

Provider Business Mailing Address
First Line	:	2 W CRESCENT PARK
Second Line	:
City	:	WARREN
State	:	PA
Zip	:	16365-2111
Country	:	US
Telephone Number	:	814-723-3300
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 FOREST STREET
Second Line	:
City	:	SUGAR GROVE
State	:	PA
Zip	:	16350
Country	:	US
Telephone Number	:	814-489-3875
Fax Number	:	814-489-3962

Authorized Official
Title or Position	:	CFO
Name	:	LAURIE JANE MACDONALD
Credential	:
Telephone Number	:	814-788-8743

Provider Enumeration Date	:	03/24/2025
Last Update Date	:	03/24/2025

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