WARREN GENERAL HOSPITAL (NPI# 1407188857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407188857 |
| Entity Type | Organization |
| Organization Name | WARREN GENERAL HOSPITAL |
| Other Organization Name | DETOX UNIT |
| Practice Address |
Two Crescent Park W Warren PA 16365-2111 |
| Practice Telephone | 8147233300 |
| Practice Fax Number | 8147238515 |
| Mailing Telephone | 8147233300 |
| Mailing Fax Number | 8147238515 |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2020-05-11 |
| Authorized Official Name | MS. JULIE SNYDER JR. (EXEC. DIR FINANCE) |
| Authorized Official Telephone | 8147233300 |
| Is Organization Subpart | Y |
| Parent Organization Name | WARREN GENERAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | AJJ96601 | PA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE CROSS BLUE SHIELD | 1254 | 01 |
| Other Name | Type Code |
|---|---|
| DETOX UNIT | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700485513 | Warren General Hospital | Optometrist | 103 W Saint Clair St Rm 1a, Warren, PA 16365-2187 | 2020-10-22 |
| 1962444729 | Warren General Hospital | Internal Medicine | 105 Lee Street, Warren, PA 16365-2114 | 2006-06-13 |
| 1508803701 | Warren General Hospital | Optometrist | 2 Crescent Park W, Warren, PA 16365-2111 | 2006-05-31 |
| 1760471551 | Warren General Hospital | Registered Nurse | Two Crescent Park W, Warren, PA 16365-0068 | 2005-10-14 |
| 1972079184 | Warren General Hospital | Registered Nurse | 2 W Crescent Park, Warren, PA 16365-2111 | 2018-10-16 |
| 1407199227 | Warren General Hospital | Medicare Defined Swing Bed Unit | 2 W Crescent Park, Warren, PA 16365-2111 | 2013-03-29 |
| 1609167667 | Warren General Hospital | Orthopaedic Surgery | 2 W Crescent Park, Warren, PA 16365-2111 | 2011-04-26 |
| 1841333606 | Warren General Hospital | Clinic/Center | 2 W Crescent Park, Warren, PA 16365-2111 | 2007-02-14 |
| 1053353813 | Warren General Hospital | Anesthesiology | 2 W Crescent Park, Warren, PA 16365-2111 | 2006-06-13 |
| 1154363992 | Warren General Hospital | Technician, Cardiology | 2 W Crescent Park, Warren, PA 16365-2111 | 2006-06-12 |
| Street Address |
TWO CRESCENT PARK W |
| City | WARREN |
| State | PA |
| Zip Code | 16365-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760471551 | Warren General Hospital | Registered Nurse | Two Crescent Park W, Warren, PA 16365-0068 | 2005-10-14 |
| 1265421721 | Warren General Hospital | Psychiatric Unit | Two Crescent Park W, Warren, PA 16365-0068 | 2005-10-18 |
| 1992794572 | Warren General Hospital | Skilled Nursing Facility | Two Crescent Park W, Warren, PA 16365-0068 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1437674579 | Theresa Elizabeth Cook | Speech-Language Pathologist | Rehabworks At Warren General Hospital, Two Crescent Park West, Warren, PA 16365 | 2017-08-10 |
| 1891160982 | Vanessa Frank Humphrey | Occupational Therapy Assistant | 682 Pleasant Drive, Warren, PA 16365 | 2015-12-01 |
| 1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
| 1992046569 | Carrie Lynn Vaughn | Physical Therapy Assistant | 1048 Pennslvania Ave West, Warren, PA 16365 | 2013-03-07 |
| 1750664488 | William Frederick Menz | Pharmacist | 2901 Market Street, (walmart), Warren, PA 16365 | 2011-09-20 |
| 1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
| 1013187558 | Chad Michael Ristau | Nurse Anesthetist, Certified Registered | 2 Crescent Park West., Warren General Hospital, Warren, PA 16365 | 2008-03-11 |
| 1407072473 | Family Physical Therapy | Physical Therapist | 218 Liberty St, Warren, PA 16365 | 2007-04-18 |
| 1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
| Find all providers in zip 16365 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730387275 | Kimberly Jean Sell-shemansky | Rehabilitation, Substance Use Disorder Unit | 855 Collinsburg Rd, West Newton, PA 15089-2503 | 2007-07-06 |
| 1255477568 | Darlene Walls | Rehabilitation, Substance Use Disorder Unit | 48 Pennsylvania Ave, Coatesville, PA 19320-3677 | 2007-01-30 |
| 1215032412 | Veteran Administration Medical Center | Rehabilitation, Substance Use Disorder Unit | 28 Joseph Ct, Downingtown, PA 19335-2264 | 2006-09-13 |
| 1265498299 | Lehigh Valley Hospital - Schuylkill | Rehabilitation, Substance Use Disorder Unit | 502 S 2nd St, Saint Clair, PA 17970-1362 | 2006-04-26 |
| 1013982008 | Drug and Alcohol Treatment Serv | Rehabilitation, Substance Use Disorder Unit | 441 Wyoming Avenue, Scranton, PA 18503-1800 | 2006-02-22 |
| 1851390561 | Corecare Behavioral Health | Rehabilitation, Substance Use Disorder Unit | 111 N 49th St, Philadelphia, PA 19139-2718 | 2005-07-15 |
| 1043703531 | Upmc Mckeesport | Rehabilitation, Substance Use Disorder Unit | 1500 5th Ave, Mckeesport, PA 15132-2422 | 2018-06-11 |
| 1073713343 | North Philadelphia Health System | Rehabilitation, Substance Use Disorder Unit | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2007-07-24 |
| 1518178144 | North Philadelphia Health System | Rehabilitation, Substance Use Disorder Unit | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2007-05-25 |
| 1538297452 | Reading Hospital | Rehabilitation, Substance Use Disorder Unit | 6th Avenue & Spruce Street, West Reading, PA 19611 | 2007-03-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.