MEMORIAL HOSPITAL INC (NPI# 1023649514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023649514 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL INC |
| Practice Address |
485 Memorial Dr Ste 1 Manchester KY 40962-9111 |
| Mailing Address |
509 Memorial Dr Ste 2 Manchester KY 40962-6196 |
| Practice Telephone | 6065990221 |
| Practice Fax Number | 6065990225 |
| Mailing Telephone | 6065985104 |
| Mailing Fax Number | 6065980983 |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-03 |
| Authorized Official Name | CHRISTOPHER SELF (CEO) |
| Authorized Official Telephone | 6065985104 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| AdventHealth Medical Group Manchester | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 485 Memorial Dr Ste 2, Manchester, KY 409629111 | 6065990221 | 6065990225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443654 | Memorial Hospital Inc | General Acute Care Hospital | 53 Queendale Ctr Ste 200, Beverly, KY 40913-9608 | 2020-07-01 |
| 1194744664 | Memorial Hospital Inc | Supports Brokerage | 94 Marie Langdon Dr Ste 6, Manchester, KY 40962-6345 | 2006-07-18 |
| 1477184968 | Memorial Hospital Inc | Clinic/Center | 515 Memorial Dr Ste 2, Manchester, KY 40962-9157 | 2020-02-03 |
| 1801270962 | Memorial Hospital Inc | Non-Pharmacy Dispensing Site | 502 E Elm Dr, Loyal, WI 54446-9604 | 2015-07-17 |
| 1821472986 | Memorial Hospital Inc | Non-Pharmacy Dispensing Site | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2015-07-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MEMORIAL HOSPITAL INCORPORATED | L.b. & B. Building, Waynesboro, Virginia 22980 |
| Street Address |
485 MEMORIAL DR STE 1 |
| City | MANCHESTER |
| State | KY |
| Zip Code | 40962-9111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609392356 | Angela Woods | Speech-Language Pathologist | 96 Woods Rd, Manchester, KY 40962 | 2017-08-15 |
| 1346627296 | Betty Alevras | Nurse Practitioner | 21 Crestview Drive, 204 Town Branch Road, Manchester, KY 40962 | 2015-04-29 |
| 1740525773 | Clay Community Pharmacy LLC | Pharmacy | 118 Clay Co S/c, Manchester, KY 40962 | 2012-12-03 |
| 1669758579 | Becky F Stubblefield | Nurse Practitioner | 65 Glenndale Drive, Manchester, KY 40962 | 2011-10-25 |
| 1891022315 | Sabrina Nicole Hacker | Occupational Therapist | 376 Manchester Square Shopping Centre, Manchester, KY 40962 | 2009-11-04 |
| 1114102167 | H&n Drug | Durable Medical Equipment & Medical Supplies | 515 Memorial Dr., Suite 2, Manchester, KY 40962 | 2008-01-08 |
| 1598944043 | Cumberland Valley Dist. Health Dept | Public Health or Welfare | 1983 Hwy 421, Manchester, KY 40962 | 2007-11-01 |
| 1023223203 | Dinah Lynn Sowders | Speech-Language Pathologist | 561 Mill Pond Drive, Manchester, KY 40962 | 2007-05-11 |
| 1104965300 | American Health Management, Inc. | Case Management | 2609 Hwy 80, Manchester, KY 40962 | 2007-02-05 |
| 1306902572 | Manchester Pharmacist Group LLC | Durable Medical Equipment & Medical Supplies | 415 Richmond Road, Unit B, Manchester, KY 40962 | 2006-12-29 |
| Find all providers in zip 40962 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851765481 | Family Health Care Associates | Clinic/Center | 359 Old Us Highway 421 Unit B, Manchester, KY 40962-7538 | 2015-11-19 |
| 1811941008 | Steven D. Spady | Clinic/Center | 509 Memorial Dr, Suite 2, Manchester, KY 40962-6195 | 2006-05-20 |
| 1477184968 | Memorial Hospital Inc | Clinic/Center | 515 Memorial Dr Ste 2, Manchester, KY 40962-9157 | 2020-02-03 |
| 1548766025 | Woodland Wellness, Inc | Clinic/Center | 115 N Woodland St, Manchester, TN 37355-1573 | 2018-04-03 |
| 1700192028 | Coffee Medical Group LLC | Clinic/Center | 1615 Mcminnville Hwy, Manchester, TN 37355-3179 | 2010-08-24 |
| 1043537046 | Coffee Medical Group LLC | Clinic/Center | 482 Interstate Dr, Suite A, Manchester, TN 37355-3109 | 2010-04-29 |
| 1851541197 | Memorial Hospital | Clinic/Center | 509 Memorial Dr, Suite 2, Manchester, KY 40962-6195 | 2008-09-23 |
| 1255527040 | Kathryn A Phillips | Clinic/Center | 1020 Mcarthur St, Manchester, TN 37355-2453 | 2007-09-14 |
| 1003021858 | Glenn A Davis, Md (rhc) | Clinic/Center | 1020 Mcarthur St, Manchester, TN 37355-2453 | 2007-05-14 |
| 1497887921 | Memorial Hospital, Inc. | Clinic/Center | 509 Memorial Dr, Suite 2, Manchester, KY 40962-6195 | 2007-03-10 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 40962 |
Please comment or provide details below to improve the information on MEMORIAL HOSPITAL INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.