NPIMap

Organization Active NPI

Warren General Hospital

  • Psychiatric Hospital Unit
  • Warren, PA
National Provider Identifier
1780536102
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
WARREN GENERAL HOSPITAL
Practice address
2 W Crescent Park
Warren, PA 16365-2111
Phone
(814) 406-0035
Fax
(814) 726-9415
NPI assigned
Feb 10, 2026
Last updated
Feb 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 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) 723-4973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

2 W Crescent Park
Warren, PA 16365-2111

Mailing address

2 W Crescent Park
FL 3 #3C
Warren, PA 16365
Phone (814) 723-4973

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260210003170 PA Part A Provider - Critical Access Hospital 4880501402 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Warren, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780536102. Details of each certification follow.

Hospital certification: CCN 39M319

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

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mammogram Screenings Warren Gen Hosp17 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

2 W Crescent Park
Fl 3
Warren, PA 16365
Phone (814) 723-0273

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 Indirect 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, 2019 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 DirectorChief Operating Officer Jan 1, 2025
Operational/Managerial ControlChief Operating Officer Jan 1, 2025
Brian Devine Individual OtherBoard Vice Chairman 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 Treasurer 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 Officer Jul 1, 2025
W-2 Managing EmployeeChief Executive Officer Jul 1, 2025
Operational/Managerial ControlChief Executive Officer 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.

NPI Registry JSON

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

{
    "created_epoch": "1770681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1780536102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W CRESCENT PARK",
            "address_2": "FL 3 #3C",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "16365",
            "telephone_number": "814-723-4973",
            "fax_number": "814-723-7580"
        },
        {
            "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": "814-406-0035",
            "fax_number": "814-726-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "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": "814-723-4973"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

Verify at the official NPI Registry.