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General NPI Number Information
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NPI Number | 1386508299
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Entity Type | Organization
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Legal Business Name | MEMORIAL HOSPITAL INC
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 210 MARIE LANGDON DR
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City | MANCHESTER
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State | KY
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Zip | 40962-6388
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Country | US
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Telephone | 606-598-5104
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Fax |
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Provider Business Mailing Address
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Address Line | 210 MARIE LANGDON DR
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City | MANCHESTER
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State | KY
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Zip | 40962-6388
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NICHOLAS BEJARANO
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Credential |
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Telephone | 606-598-1081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number |
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License Number State |
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