Provider Demographics
NPI:1881630879
Name:WARREN COMMUNITY HOSPITAL, INC.
Entity type:Organization
Organization Name:WARREN COMMUNITY HOSPITAL, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:LINNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-745-4211
Mailing Address - Street 1:115 S MAIN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MN
Mailing Address - Zip Code:56762-1424
Mailing Address - Country:US
Mailing Address - Phone:218-745-5154
Mailing Address - Fax:218-745-4936
Practice Address - Street 1:115 S MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MN
Practice Address - Zip Code:56762-1424
Practice Address - Country:US
Practice Address - Phone:218-745-5154
Practice Address - Fax:218-745-4936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1904AWAOtherBLUE CROSS BLUE SHIELD
MN8G497NOOtherBLUE CROSS BLUE SHIELD
MN167526OtherUCARE
MN809853100Medicaid
MN8300125OtherMEDICA