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DSH390146 WARREN GENERAL HOSPITAL (Active)
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Main Details
Name
WARREN GENERAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390146
Medicare Provider Number
390146
Additional Details
Current Program Status
Active
Registration Date
10/5/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/23/2018
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Warren General Hospital
Kathryn E. Carlson, Executive Director of Operations
(814) 723-4973 Ext: 1370
Primary Contact
Warren General Hospital
Lily Nobles, Interim Pharmacy Director
(814) 723-3300 Ext: 1838
Addresses
Street Address
2 CRESCENT PARK WEST
WARREN, PA 16365
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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