Healthcare Provider Details

I. General information

NPI: 1881630879
Provider Name (Legal Business Name): WARREN COMMUNITY HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 12/31/2020
Certification Date: 12/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 S MAIN ST STE 1
WARREN MN
56762-1424
US

IV. Provider business mailing address

115 S MAIN ST STE 1
WARREN MN
56762-1424
US

V. Phone/Fax

Practice location:
  • Phone: 218-745-5154
  • Fax: 218-745-4936
Mailing address:
  • Phone: 218-745-5154
  • Fax: 218-745-4936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: JON EARL LINNELL
Title or Position: CEO
Credential:
Phone: 218-745-4211