Carlos Medina, M.D.

LBN: Hanover Health Corporation, Inc.
Carlos Medina, M.D. is an health care organization with primary practice located at 100 Penn St , Hanover PA 17331-1956. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Hanover Health Corporation, Inc. can be contacted via phone (717) 632-3220, or through Olejnik, Marilyn A. via phone (717) 637-3711.

Contact Information

Primary practice address
100 Penn St Hanover PA 17331-1956
Fax: (717) 632-3220
Website:
Authorized official contact:
Name: Olejnik, Marilyn A.

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1396887634
LBN Legal business name Hanover Health Corporation, Inc.
DBA Doing business as Carlos Medina, M.D.
Authorized official Olejnik, Marilyn A.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396887634 NPPES
Pennsylvania MEDICAID PENDING

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