HANOVER HEALTH CORPORATION INC. NPI 1396887634

NPI Information

NPI: 1396887634
Provider Name: HANOVER HEALTH CORPORATION, INC.

Doing Business As: CARLOS MEDINA, M.D.

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
100 PENN ST
HANOVER, PA
ZIP 17331
Phone: (717) 632-3220
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HANOVER HEALTH CORPORATION, INC. is a primary care clinic center in Hanover, PA. HANOVER HEALTH CORPORATION, INC. NPI is 1396887634. The provider is registered as an organization entity type.
The provider Is Doing Business As Carlos Medina, M.d..

The provider's business location address is:

100 PENN ST
HANOVER, PA
ZIP 17331-956
Phone: (717) 632-3220
Fax: (717) 632-3220

The provider's authorized official is Marilyn A. Olejnik .
The authorized official title is Chief Financial Officer and has the following contact phone number (717) 637-3711.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PENDING	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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