HANOVER HEALTH CORPORATION, INC. (NPI# 1396887634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396887634 |
| Entity Type | Organization |
| Organization Name | HANOVER HEALTH CORPORATION, INC. |
| Other Organization Name | CARLOS MEDINA, M.D. |
| Practice Address |
100 Penn St Hanover PA 17331-1956 |
| Mailing Address |
300 Highland Ave Hanover PA 17331-2297 |
| Practice Telephone | 7176323220 |
| Practice Fax Number | 7176323220 |
| Mailing Telephone | 7176333511 |
| Mailing Fax Number | 7176460188 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARILYN A. OLEJNIK (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7176373711 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PENDING | 05 |
| Other Name | Type Code |
|---|---|
| Carlos Medina, M.D. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952598658 | Hanover Health Corporation, Inc. | Clinic/Center | 250 Fame Ave, Suite 100, Hanover, PA 17331-1587 | 2007-09-27 |
| 1528255130 | Hanover Health Corporation, Inc. | Clinic/Center | 195 Stock St, Suite 305, Hanover, PA 17331-2266 | 2007-09-27 |
| 1043362288 | Hanover Health Corporation, Inc. | Clinic/Center | 310 Stock St, Hanover, PA 17331-2276 | 2007-01-17 |
| 1790725448 | Hanover Health Corporation, Inc. | Clinic/Center | 300 W King St, Littlestown, PA 17340-1446 | 2006-06-08 |
| Street Address |
100 PENN ST |
| City | HANOVER |
| State | PA |
| Zip Code | 17331-1956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558368019 | William R Bast | Urology | 100 Penn St, Hanover, PA 17331-1956 | 2005-06-30 |
| 1619354222 | Hanover Cardiology, LLC | Internal Medicine | 100 Penn St, Hanover, PA 17331-1956 | 2015-05-04 |
| 1700073764 | Tracy W Crook | Specialist/Technologist, Other | 100 Penn St, Hanover, PA 17331-1956 | 2007-10-03 |
| 1588694640 | Cornerstone Surgical, LLC | Surgery | 100 Penn St, Hanover, PA 17331-1956 | 2006-07-04 |
| 1437190600 | Matthew L Montgomery | Surgery | 100 Penn St, Hanover, PA 17331-1956 | 2006-06-09 |
| 1750353983 | Lawrence S Freer | Internal Medicine | 100 Penn St, Hanover, PA 17331-1956 | 2006-02-02 |
| 1093793549 | Hanover Urology Associates Inc | Urology | 100 Penn St, Hanover, PA 17331-1956 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356977649 | Pinnacle Health Medical Services | Clinic/Center | 2201 Brunswick Drive, Suite 1100, Hanover, PA 17331 | 2020-03-18 |
| 1508421058 | National Vision Inc | Optometrist | 477 Eisenhower Drive, Hanover, PA 17331 | 2019-05-09 |
| 1225599830 | Tawney Nicole Angeloff | Registered Nurse | 1227 Baltimore Street, Hanover, PA 17331 | 2019-03-27 |
| 1851865000 | Hanh Pham-nguyen | Pharmacist | 260 Wilson Ave, Hanover, PA 17331 | 2019-01-21 |
| 1194251876 | Sam's East, Inc. | Technician/Technologist | 261 Wilson Ave, Hanover, PA 17331 | 2017-05-02 |
| 1346697794 | Pinnacle Treatment Centers Pa-vii, LLC | Clinic/Center | 120 Penn Street, Hanover, PA 17331 | 2016-05-16 |
| 1073914073 | Luana Robinson | Counselor | 36 Wappler Drive, Hanover, PA 17331 | 2014-09-09 |
| 1225467350 | Jennifer Marie Sherde | Specialist/Technologist | 250 Fame Avenue, Suite 100, Medical Fitness Center-hanover Hospital, Hanover, PA 17331 | 2013-11-08 |
| 1194078089 | Robyn Michelle Hess | Physician Assistant | 100 Eisenhower Dr, Hanover, PA 17331 | 2012-10-17 |
| 1134408453 | Heather L Hillson | Pharmacist | 31 Wilson Ave., T2567, Hanover, PA 17331 | 2011-08-04 |
| Find all providers in zip 17331 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639626872 | Activate Healthcare - Utz | Clinic/Center | 240 Kindig Ln, Plant #5, Hanover, PA 17331-1732 | 2016-09-06 |
| 1033135785 | Bachman-shute PC | Clinic/Center | 460 Clover Ln, Hanover, PA 17331-9242 | 2006-07-14 |
| 1841255957 | Hanover Health Corporation Inc | Clinic/Center | 310 Stock Street Suite 4, Hanover, PA 17331 | 2006-04-20 |
| 1396211686 | Wellspan Medical Group | Clinic/Center | 100 Eisenhower Dr, Hanover, PA 17331-5241 | 2018-10-15 |
| 1851645477 | Montshire Pediatrics, PC | Clinic/Center | 45 Lyme Rd, Suite 105, Hanover, NH 03755-1219 | 2012-11-05 |
| 1992035380 | Primary & Preventive Care, Inc. | Clinic/Center | 20 East St, Hanover, MA 02339-1638 | 2010-01-06 |
| 1457536708 | Hanover Health Corporation, Inc | Clinic/Center | 3130 Grandview Rd, Hanover, PA 17331-9134 | 2008-01-07 |
| 1588867667 | Hanover Continuity Clinic, Pllc | Clinic/Center | 45 Lyme Rd, Suite 104, Hanover, NH 03755-1220 | 2007-06-07 |
| 1740405943 | Wayne H. Senft D.o. | Clinic/Center | 212 3rd St, Hanover, PA 17331-2325 | 2007-04-15 |
| 1043362288 | Hanover Health Corporation, Inc. | Clinic/Center | 310 Stock St, Hanover, PA 17331-2276 | 2007-01-17 |
| Find all providers in HANOVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.