Healthcare Provider Details

I. General information

NPI: 1558282269
Provider Name (Legal Business Name): WARREN GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 CHESTNUT STREET EXT # A
BRADFORD PA
16701-2298
US

IV. Provider business mailing address

2 W CRESCENT PARK
WARREN PA
16365-2111
US

V. Phone/Fax

Practice location:
  • Phone: 814-726-1786
  • Fax: 814-723-0414
Mailing address:
  • Phone: 814-726-1786
  • Fax: 814-723-0414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: JULIE SNYDER
Title or Position: EXEC DIR FISCAL SERVICES
Credential:
Phone: 814-723-4973