NPIMap

Organization Active NPI

Warren General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Warren, PA
National Provider Identifier
1407199227
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
490401 Issued in 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
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 490401 PA Primary
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 1

TypeEndpointUseAffiliation
Direct Messaging Address warrengeneralhospital@directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407199227. Details of each certification follow.

Hospital certification: CCN 39Z319

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

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

Other NPIs with the same Medicare PAC ID 9

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

National Provider Directory

National Provider Directory
Tax ID family
David E Martin Dental Clinic17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

17 Tollgate Rd
Sheffield, PA 16347
Phone (814) 593-1215

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

Ownership & related parties

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 OfficerChief Financial Officer May 15, 2023
Operational/Managerial ControlChief 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 OtherBoard Member Sep 1, 2018
Vikas Sacher Individual OtherBoard 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 OtherBoard Member Sep 1, 2018
Gwendolynn Scutella Individual OtherBoard 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 OtherBoard Member Sep 1, 2018
Kathryn Carlson Individual Corporate OfficerChief Operating Officer Jul 1, 2025
Operational/Managerial ControlChief Operating Officer Jul 1, 2025
Brian Devine Individual OtherBoard Vicechairman Dec 19, 2023
Thad Turner Individual OtherBoard Chairman Sep 1, 2018
Timothy Bevevino Individual OtherBoard 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 OtherBoard Member Dec 19, 2023
Karen Surkala Individual OtherBoard Member Apr 23, 2020
Trevor Olsen Individual OtherBoard Member Sep 1, 2018
Joseph J Maljovec Individual OtherBoard Member Jan 1, 2020
Whitney Morrison Individual OtherDirector of Credentialing Aug 8, 2022
Jasen Diley Individual OtherBoard Member Sep 1, 2018
Randall Scalise Individual OtherBoard Member Mar 2, 2022
Daniel W Grolemund Individual Corporate OfficerChief Executive Office Jul 1, 2025
W-2 Managing EmployeeAd; Jul 1, 2025 100%
Operational/Managerial ControlChief Executive Office Jul 1, 2025

Owners & managing parties with NPI records 4

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

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

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 32

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

View all 32

Practitioners & affiliated clinicians

Practitioners 167

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 167

Affiliated clinicians 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1407199227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CRESCENT PARK WEST",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652111",
            "telephone_number": "814-723-3300",
            "fax_number": "814-723-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W CRESCENT PARK",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652111",
            "telephone_number": "814-723-4973",
            "fax_number": "814-723-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "EXEC DIR OF FISCAL SERVICES",
        "authorized_official_telephone_number": "814-723-3300"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "PA",
            "license": "490401",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "warrengeneralhospital@directaddress.net",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Summary of Care",
            "address_1": "2 W Crescent Park",
            "city": "Warren",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163652111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

Verify at the official NPI Registry.