# HANOVER HEALTH CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hanover Medical Group Express Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083950687
- **Authorized official:** MICHAEL W GASKINS (CFO)
- **Authorized official phone:** (717) 646-4120

## Contact information

- **Practice address:** 1404 BALTIMORE ST, SUITE 4, HANOVER, PA 17331-8698
- **Practice address phone:** (717) 637-0470
- **Practice address fax:** (717) 637-4987
- **Mailing address:** 310 STOCK ST, SUITE 7, HANOVER, PA 17331-2276
- **Mailing address phone:** (717) 633-8858
- **Mailing address fax:** (717) 316-2240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/31/2012
- **Last updated:** 02/13/2015
