MEMORIAL HOSPITAL INC. NPI 1033510961

NPI Information

  • NPI: 1033510961
  • Provider Name: MEMORIAL HOSPITAL, INC.
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: GLENNDALE MEDICAL CARE
  • Address: 65 GLENNDALE RD
    SUITE 1
    MANCHESTER, KY
    ZIP 40962
  • Phone: (606) 599-2508

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NPI Details

MEMORIAL HOSPITAL, INC. is a multi-specialty clinic center in Manchester, KY. MEMORIAL HOSPITAL, INC. NPI is 1033510961. The provider is registered as an organization entity type.
The provider Is Doing Business As Glenndale Medical Care.

The provider's business location address is:

65 GLENNDALE RD
SUITE 1
MANCHESTER, KY
ZIP 40962-212
Phone: (606) 599-2508

The provider's authorized official is Connie Farmer .
The authorized official title is Billing Manager and has the following contact phone number (606) 598-5104.

The enumeration date for this NPI number is 9/10/2014 and was last updated on 1/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
131001134MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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