MEMORIAL HOSPITAL INC. (NPI# 1255471827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255471827 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL INC. |
| Other Organization Name | PHYSICIAN SERVICES OF MEMORIAL HOSPITAL |
| Practice Address |
94 Marie Langdon Dr Suite 4 Manchester KY 40962-6353 |
| Mailing Address |
509 Memorial Dr Suite 2 Manchester KY 40962-6195 |
| Practice Telephone | 6065985104 |
| Practice Fax Number | 6065980983 |
| Mailing Telephone | 6065985104 |
| Mailing Fax Number | 6065980983 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2015-05-18 |
| Authorized Official Name | MRS. ERIKA SKULA (PRESIDENT/CEO) |
| Authorized Official Telephone | 6065985104 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | KY | Allopathic & Osteopathic Physicians | |
| N | 207V00000X | Obstetrics & Gynecology | KY | Allopathic & Osteopathic Physicians | |
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
900236 | KY | Ambulatory Health Care Facilities |
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 31001134 | 05 | |
| KY | 7100339170 | 05 | |
| RR MEDICARE | CC2941 | 01 |
| Other Name | Type Code |
|---|---|
| Physician Services of Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710361878 | Memorial Hospital Inc. | Non-Pharmacy Dispensing Site | 201 S Main St, Greenwood, WI 54437-9733 | 2015-07-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MEMORIAL HOSPITAL INCORPORATED | L.b. & B. Building, Waynesboro, Virginia 22980 |
| Street Address |
94 MARIE LANGDON DR SUITE 4 |
| City | MANCHESTER |
| State | KY |
| Zip Code | 40962-6353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801855150 | Willowbrook Womens Center | Specialist | 94 Marie Langdon Dr, Ste 4, Manchester, KY 40962-6353 | 2006-03-23 |
| 1770962961 | Judy Hacker | Nurse Practitioner | 94 Marie Langdon Dr, Suite 4, Manchester, KY 40962-6353 | 2015-05-21 |
| 1902208267 | Memorial Hospital, Inc. | Pediatrics | 94 Marie Langdon Dr, Suite 1, Manchester, KY 40962-6353 | 2014-09-18 |
| 1811220171 | Suzann Smith | Nurse Practitioner | 94 Marie Langdon Dr, Suite 2, Manchester, KY 40962-6353 | 2009-09-17 |
| 1366619488 | James Delmar Dawson Jr. | Obstetrics & Gynecology | 94 Marie Langdon Dr, Suite 4, Manchester, KY 40962-6353 | 2008-05-08 |
| 1609040179 | Memorial Hospital, Inc. | Family Medicine | 94 Marie Langdon Dr, Suite 1, Manchester, KY 40962-6353 | 2008-04-16 |
| 1447470539 | Memorial Hospital, Inc. | Family Medicine | 94 Marie Langdon Dr, Manchester, KY 40962-6353 | 2007-04-30 |
| 1437375839 | Kishore Internal Medicine | Specialist | 94 Marie Langdon Dr, Suite 2, Manchester, KY 40962-6353 | 2007-04-17 |
| 1508971524 | Ella Mae Mcdaniel | Nurse Practitioner | 94 Marie Langdon Dr, Ste 2, Manchester, KY 40962-6353 | 2006-08-20 |
| 1083627087 | Kishore Internal Medicine, Psc | Internal Medicine | 94 Marie Langdon Dr, Ste 2, Manchester, KY 40962-6353 | 2006-08-14 |
| Find all providers in the same location | ||||
| 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 |
|---|---|---|---|---|
| 1023649514 | Memorial Hospital Inc | Clinic/Center | 485 Memorial Dr Ste 1, Manchester, KY 40962-9111 | 2020-02-03 |
| 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 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 40962 |
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| 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.