NPIMap

Warren General Hospital

Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Warren, PA

NPI 1407199227 · NPPES record last updated Sep 4, 2026

Key facts

NPI
1407199227
Entity type
Organization (NPI type 2)
Primary specialty
Medicare Defined Swing Bed Hospital Unit 275N00000X
License
490401 (PA)
Legal business name
WARREN GENERAL HOSPITAL
Practice address
2 W Crescent Park
Warren, PA 16365-2111
Phone
(814) 723-4973
Fax
(814) 723-8515
NPI assigned
Mar 29, 2013
Organization subpart
No

Authorized official

Name
Julie Snyder
Title
Exec Dir of Fiscal Services
Phone
(814) 723-3300

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 16

Organizations that report the same tax identification number in the National Provider Directory.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 32

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 32

Practitioners 173

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 173

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Hospital certification: CCN 39Z319

Legal name
WARREN GENERAL HOSPITAL
Doing business as
LECOM HEALTH
Organization structure
Corporation · Non-profit
Enrollment address
2 Crescent Park W
Warren, PA 16365-2111
Hospital Swing-Bed Unit

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Care Corporation of Warren
Organization · Warren, PA
Non-profit 		5% Or Greater Direct Ownership Interest Apr 13, 1987 55%
Laurie Macdonald
Individual 		Corporate Officer
Chief Financial Officer		 May 15, 2023
Operational/Managerial Control
Chief Financial Officer		 May 15, 2023
Allegheny Health Network
Organization · Pittsburgh, PA
Non-profit, Owned by another organization or individual 		5% Or Greater Indirect Ownership Interest Aug 31, 2018 22.5%
Julia McTavish
Individual 		Other
Board Member		 Sep 1, 2018
Vikas Sacher
Individual 		Other
Board Member		 Jan 1, 2025
Lecom Health Affiliates, LLC
Organization · Erie, PA
LLC, Owned by another organization or individual 		5% Or Greater Indirect Ownership Interest Aug 31, 2018 22.5%
Highmark Health
Organization · Pittsburgh, PA
Non-profit 		5% Or Greater Indirect Ownership Interest Aug 31, 2018 22.5%
Mason Tootell
Individual 		Other
Board Member		 Sep 1, 2018
Gwendolynn Scutella
Individual 		Other
Board Member		 Jul 1, 2024
Ahn-Lecom JV LLC
Organization · Pittsburgh, PA
Created for acquisition, LLC, Owned by another organization or individual 		5% Or Greater Direct Ownership Interest Aug 31, 2018 45%
Timothy Scott Stanton
Individual 		Other
Board Member		 Sep 1, 2018
Kathryn Carlson
Individual 		Corporate Officer
Chief Operating Officer		 Jul 1, 2025
Operational/Managerial Control
Chief Operating Officer		 Jul 1, 2025
Brian Devine
Individual 		Other
Board Vicechairman		 Dec 19, 2023
Thad Turner
Individual 		Other
Board Chairman		 Sep 1, 2018
Timothy Bevevino
Individual 		Other
Board Secretary		 Sep 1, 2018
Millcreek Health System
Organization · Erie, PA
Non-profit 		5% Or Greater Indirect Ownership Interest Aug 31, 2018 22.5%
Steven Inman
Individual 		Other
Board Member		 Dec 19, 2023
Karen Surkala
Individual 		Other
Board Member		 Apr 23, 2020
Trevor Olsen
Individual 		Other
Board Member		 Sep 1, 2018
Joseph J Maljovec
Individual 		Other
Board Member		 Jan 1, 2020
Whitney Morrison
Individual 		Other
Director of Credentialing		 Aug 8, 2022
Jasen Diley
Individual 		Other
Board Member		 Sep 1, 2018
Randall Scalise
Individual 		Other
Board Member		 Mar 2, 2022
Daniel W Grolemund
Individual 		Corporate Officer
Chief Executive Office		 Jul 1, 2025
W-2 Managing Employee
Ad;		 Jul 1, 2025 100%
Operational/Managerial Control
Chief Executive Office		 Jul 1, 2025

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Warren General Hospital
Warren, PA · CCN 393458		 Rural health clinic 5% Or Greater Direct Ownership Interest (55%) Sep 1, 2018
Warren General Hospital RHC Sugar Grove
Sugar Grove, PA · CCN 393456		 Rural health clinic 5% Or Greater Direct Ownership Interest (55%) Sep 1, 2018
Warren General Hospital
Warren, PA · CCN 393457		 Rural health clinic 5% Or Greater Direct Ownership Interest (55%) Sep 1, 2018

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20260224003317 PA Part a Provider - Critical Access Hospital 4880501402 Practice locations: Warren, PA

National Provider Directory

Tax ID family
Warren General Hosp Lab (17 organizations share this tax ID)

Locations

505 Foote Ave
Jamestown, NY 14701
Phone (716) 483-2285

210 N Center St
Corry, PA 16407
Phone (814) 664-9238

10 Timberview Ln
#1
Russell, PA 16345
Phone (814) 757-5860

10 Timberview Ln
Russell, PA 16345
Phone (716) 376-2203

115 Main St
Tidioute, PA 16351
Phone (814) 484-3096

103 W Saint Clair St
Rm 2A
Warren, PA 16365
Phone (814) 723-1212

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 490401 PA Yes
General Acute Care Hospital 282N00000X
Critical Access Hospital 282NC0060X

Addresses

Primary practice location

2 W Crescent Park
Warren, PA 16365-2111

Mailing address

2 Crescent Park West
Warren, PA 16365-2111
Phone (814) 723-3300

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address warrengeneralhospital@directaddress.net

Other providers in Warren, PA

All providers in Warren, PA · Medicare Defined Swing Bed Hospital Unit in Pennsylvania

Sources for this page

Verify at the official NPI Registry.