MEMORIAL HOSPITAL INC. NPI 1912137720

NPI Information

NPI: 1912137720
Provider Name: MEMORIAL HOSPITAL, INC.

Doing Business As: ADVENTHEALTH WOUND CARE AT MANCHESTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
515 MEMORIAL DR STE 1
MANCHESTER, KY
ZIP 40962
Phone: (606) 598-4524
Get Directions

MEMORIAL HOSPITAL, INC. is a family medicine in Manchester, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MEMORIAL HOSPITAL, INC. NPI is 1912137720. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Adventhealth Wound Care At Manchester.

The provider's business location address is:

515 MEMORIAL DR STE 1
MANCHESTER, KY
ZIP 40962-157
Phone: (606) 598-4524
Fax: (606) 599-2554

The provider's authorized official is Sissel Jacob .
The authorized official title is Ceo and has the following contact phone number (606) 598-5104.

The enumeration date for this NPI number is 7/15/2009 and was last updated on 2/9/2023.

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	Primary
1	208000000X	Pediatrics		No
2	363L00000X	Nurse Practitioner		No
3	363LF0000X	Nurse Practitioner	Family	No
4	207Q00000X	Family Medicine		Yes

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
1	78905007	MEDICAID	KENTUCKY
2	65934523	MEDICAID	KENTUCKY

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: 5/5/2024

NPI Synchronization or Removal

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