| Hanover Health Corporation | |
|
300 Highland Avenue Hanover PA 17331-2297 | |
| (717) 637-3711 | |
| (717) 646-0188 |
| Full Name | Hanover Health Corporation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 300 Highland Avenue, Hanover, Pennsylvania |
| Authorized Official Name and Position | Michael W Gaskins (INTERIM CEO/CFO) |
| Authorized Official Contact | 7173162153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanover Health Corporation 300 Highland Avenue Hanover PA 17331-2297 Ph: (717) 316-3711 | Hanover Health Corporation 300 Highland Avenue Hanover PA 17331-2297 Ph: (717) 637-3711 |
| NPI Number | 1093944779 |
|---|---|
| Provider Enumeration Date | 07/02/2009 |
| Last Update Date | 01/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093944779 | NPI | - | NPPES |
| PENDING | Medicaid | PA | |
| 102387691 | Medicaid | PA |
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