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NPI Code Detail

MEDICARE: MEMORIAL HOSPITAL, INC.

MEDICARE: MEMORIAL HOSPITAL, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282NR1301XRural Acute Care Hospital100075KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10180043OTHERKYMEDICARE MANAGED CARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15000038OTHERKYUNITED HEALTHCARE
265265OTHERKYMEMORIAL EMPLOYEES
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
46280695OTHERKYAETNA
530523000OTHERKYBLACK LUNG
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
965265OTHERKYANTHEM BLUE CROSS

General Provider Information

NPI Number : 1811922347
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEMORIAL HOSPITAL, INC.
Provider Business Mailing Address
First Line : 210 MARIE LANGDON DR
Second Line :
City : MANCHESTER
State : KY
Zip : 40962-6388
Country : US
Telephone Number : 606-598-5104
Fax Number : 606-598-7008
Provider Business Practice Location Address
First Line : 210 MARIE LANGDON DR
Second Line :
City : MANCHESTER
State : KY
Zip : 40962-6388
Country : US
Telephone Number : 606-598-1002
Fax Number : 606-598-7008
Authorized Official
Title or Position : CFO
Name : JESSE KLEVEN
Credential :
Telephone Number : 606-598-5104
Provider Enumeration Date : 07/12/2006
Last Update Date : 01/18/2024

Similar Medicare Providers

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Practice Location Address:
210 MARIE LANGDON DR
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1831150119 — MEMORIAL HOSPITAL, INC.
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1699727552 — EILEEN A IRVIN CRNA
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1902852049 — ASHRAF AZEB MD
Practice Location Address:
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MANCHESTER, KY
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1497793541 — JAMES L. SMITH CRNA
Practice Location Address:
210 MARIE LANGDON DR
MANCHESTER, KY
40962-6388
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Practice Fax:
1245370824 — MEMORIAL HOSPITAL
Practice Location Address:
210 MARIE LANGDON DR
MANCHESTER, KY
40962-6388
Practice Phone: 606-598-5104
Practice Fax: 606-599-0983

Directions to “MEMORIAL HOSPITAL, INC. ” Practice Location

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