NPIMap

Organization Active NPI

Warren General Hospital

Doing business as Cancer Care Center

  • Medical Oncology Physician
  • Warren, PA
National Provider Identifier
1962444729
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
490401 Issued in PA
Legal business name
WARREN GENERAL HOSPITAL
Doing business as
Cancer Care Center
Practice address
105 Lee Street
Warren, PA 16365-2114
Phone
(814) 726-1786
Fax
(814) 723-0414
NPI assigned
Jun 13, 2006
Last updated
Jul 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 Fiscal Services
Phone
(814) 723-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RX0202X 490401 PA Primary

Addresses

Primary practice location

105 Lee Street
Warren, PA 16365-2114

Mailing address

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

Other practice location 1

965 Shamrock Ln
Corry, PA 16407-9121
Phone (814) 726-1786

Other practice location 2

2 Crescent Park W
Warren, PA 16365-0068
Phone (814) 726-1786

Other practice location 3

900 Chestnut Street Ext # A
Bradford, PA 16701-2298
Phone (814) 726-1786

Other names 1

  • Cancer Care Center Doing business as

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
O20040514000024 PA Part B Supplier - Clinic/Group Practice 4880501402 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Warren, PA

Other NPIs with the same Medicare PAC ID 9

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

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

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1962444729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W CRESCENT PARK",
            "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": "105 LEE STREET",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652114",
            "telephone_number": "814-726-1786",
            "fax_number": "814-723-0414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "965 Shamrock Ln",
            "address_purpose": "LOCATION",
            "city": "Corry",
            "state": "PA",
            "postal_code": "164079121",
            "country_code": "US",
            "telephone_number": "814-726-1786",
            "fax_number": "814-723-0414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Crescent Park W",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "PA",
            "postal_code": "163650068",
            "country_code": "US",
            "telephone_number": "814-726-1786",
            "fax_number": "814-723-8515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Chestnut Street Ext # A",
            "address_purpose": "LOCATION",
            "city": "Bradford",
            "state": "PA",
            "postal_code": "167012298",
            "country_code": "US",
            "telephone_number": "814-726-1786",
            "fax_number": "814-723-0414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WARREN GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "EXEC DIR FISCAL SERVICES",
        "authorized_official_telephone_number": "814-723-3300"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "PA",
            "license": "490401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "warrengeneralhospital@directaddress.net",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Summary of Care",
            "address_1": "105 Lee Street",
            "city": "Warren",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163652114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cancer Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cancer Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, PA

Sources for this page

Verify at the official NPI Registry.