Organization Active NPI

Hanover Health Corporation Inc

Doing business as South Hanover Family Care Center

  • Primary Care Clinic/Center
  • Hanover, PA
National Provider Identifier
1902860885
Registry record updated Feb 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HANOVER HEALTH CORPORATION INC
Doing business as
South Hanover Family Care Center
Practice address
1404 Baltimore St
Suite 4
Hanover, PA 17331-8698
Phone
(717) 637-0470
Fax
(717) 637-4987
NPI assigned
Apr 17, 2006
Last updated
Feb 16, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
HANOVER HEALTH CORPORATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Marilyn A Olejnik
Title
Chief Financial Officer
Phone
(717) 637-3711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

1404 Baltimore St
Suite 4
Hanover, PA 17331-8698

Mailing address

300 Highland Avenue
Hanover, PA 17331
Phone (717) 633-3511

Other names 1

  • South Hanover Family Care Center Doing business as

National Provider Directory

National Provider Directory
Part of
Hanover HLTH Corp Inc

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234742400000",
    "number": "1902860885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HIGHLAND AVENUE",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "17331",
            "telephone_number": "717-633-3511",
            "fax_number": "717-646-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 BALTIMORE ST",
            "address_2": "SUITE 4",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173318698",
            "telephone_number": "717-637-0470",
            "fax_number": "717-637-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER HEALTH CORPORATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANOVER HEALTH CORPORATION INC",
        "enumeration_date": "2006-04-17",
        "last_updated": "2009-02-16",
        "status": "A",
        "authorized_official_last_name": "OLEJNIK",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "717-637-3711",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Hanover Family Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.