Organization
HANOVER HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER D. WARREN M.D. (ADMINISTRATOR)
(785) 337-2214
Entity
Organization
Contact information
Practice address
205 S. HANOVER STREET, HANOVER, KS 66945
(785) 337-2214
(785) 337-2727
Mailing address
205 S. HANOVER STREET, HANOVER, KS 66945
(785) 337-2214
(785) 337-2727
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00197
BLUE CROSS BLUE SHIELD
KS
05
—
10098950A
—
KS
Enumeration date
10/23/2006
Last updated
05/31/2022
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