| Warren General Hospital | |
|
Two Crescent Park W Warren PA 16365-0068 | |
| (814) 723-3300 | |
| (814) 723-8515 |
| Full Name | Warren General Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | Two Crescent Park W, Warren, Pennsylvania |
| Authorized Official Name and Position | Julie Jacobs (EXEC. DIRECTOR FISCAL SERVICES) |
| Authorized Official Contact | 8147233300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Warren General Hospital 2 Crescent Park West Warren PA 16365-2111 Ph: (814) 723-3300 | Warren General Hospital Two Crescent Park W Warren PA 16365-0068 Ph: (814) 723-3300 |
| NPI Number | 1265421721 |
|---|---|
| Provider Enumeration Date | 10/18/2005 |
| Last Update Date | 05/11/2020 |
| Certification Date | 05/11/2020 |
| Medicare PECOS PAC ID | 4880501402 |
|---|---|
| Medicare Enrollment ID | O20240119001134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265421721 | NPI | - | NPPES |
| 105201 | Other | UPMC | |
| 1007284970014 | Medicaid | PA | |
| 00011455501 | Other | UNIVERA | |
| 0929 | Other | PA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 940570 (Pennsylvania) | Primary |
| Provider Name | Laurie A Fenton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053687186 PECOS PAC ID: 7012169741 Enrollment ID: I20150507002195 |
| Provider Name | Israr A Abbasi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518925437 PECOS PAC ID: 8325143266 Enrollment ID: I20170104001398 |
| Provider Name | Monir A Chaudhry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740334267 PECOS PAC ID: 8527144112 Enrollment ID: I20170127000608 |
| Provider Name | Shahnawaz Meer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922261080 PECOS PAC ID: 1254501059 Enrollment ID: I20190326001886 |
Sunrise Collaborative, Llc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1048 Pennsylvania Ave W, Warren, PA 16365 Phone: 724-422-3928 Fax: 814-313-1075 | |
Beacon Light Behavioral Health Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1885 Market St, Warren, PA 16365 Phone: 814-723-1832 Fax: 814-362-5245 | |
Beacon Light Behavioral Health System Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1885 Market St, Warren, PA 16365 Phone: 814-817-1400 Fax: 814-362-5245 | |
Deerfield Behavioral Health Of Warren, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1003 Pennsylvania Ave W, Warren, PA 16365 Phone: 814-723-5545 Fax: 814-723-6355 | |
Karen Ashbaugh Lcsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 W 3rd Ave Ste A, Warren, PA 16365 Phone: 814-730-2281 | |
Mindful Journeys, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 436 Pennsylvania Ave W, Warren, PA 16365 Phone: 814-723-3200 |