Healthcare Provider Details
I. General information
NPI: 1679440986
Provider Name (Legal Business Name): HANOVER HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/21/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
205 S HANOVER ST
HANOVER KS
66945-8924
US
IV. Provider business mailing address
205 S HANOVER ST
HANOVER KS
66945-8924
US
V. Phone/Fax
- Phone: 785-337-2214
- Fax: 785-337-2727
- Phone: 785-337-2214
- Fax: 785-337-2727
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRITTNI
OEHMKE
Title or Position: CEO
Credential:
Phone: 785-337-2214