Provider Demographics
NPI:1114069028
Name:HANOVER HOSPITAL INC.
Entity Type:Organization
Organization Name:HANOVER HOSPITAL INC.
Other - Org Name:HANOVERWORKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL SERVICES REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:L
Authorized Official - Last Name:SWABY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-633-2144
Mailing Address - Street 1:300 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-2297
Mailing Address - Country:US
Mailing Address - Phone:717-633-2144
Mailing Address - Fax:717-633-2221
Practice Address - Street 1:300 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-2297
Practice Address - Country:US
Practice Address - Phone:717-633-2144
Practice Address - Fax:717-633-2221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA081801261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1164518262OtherANNE VALLOTTON, CRNP
PA1982791604OtherGEORGE ZIMMERMAN, PA-C
PA1073600797OtherKIM JONES, PA-C
PA1255427332OtherWARREN C. DANIELS, MD