# HANOVER SURGICENTER, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174525661
- **Authorized official:** MRS. DENISE A FAKE R.N. (ADMINISTRATOR)
- **Authorized official phone:** (717) 637-1600

## Contact information

- **Practice address:** 250 FAME AVE, SUITE 130, HANOVER, PA 17331-1587
- **Practice address phone:** (717) 633-1600
- **Practice address fax:** (717) 633-6556
- **Mailing address:** 250 FAME AVE, SUIE 130, HANOVER, PA 17331-1587
- **Mailing address phone:** (717) 633-1600
- **Mailing address fax:** (717) 633-6556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 01681500 | PA | Yes |

## Other

- **Enumeration date:** 08/15/2005
- **Last updated:** 03/19/2010