Physician Services Of Memorial Hospital

LBN: Memorial Hospital, Inc.
Physician Services Of Memorial Hospital is an health care organization with primary practice located at 210 Marie Langdon Dr , Manchester KY 40962-6388. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Other Service Providers / Specialist is the primary health care specialty. Memorial Hospital, Inc. can be contacted via phone (606) 598-5104, or through Jacob, Sissel via phone (606) 598-5104.

Contact Information

Primary practice address
210 Marie Langdon Dr Manchester KY 40962-6388
Phone: (606) 598-5104
Fax: (606) 598-0983
Website:
Map and Directions
Authorized official contact:
Name: Jacob, Sissel
Phone: (606) 598-5104

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Other Service Providers / Specialist 174400000X Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X

Profile Details

NPI number 1831150119
LBN Legal business name Memorial Hospital, Inc.
DBA Doing business as Physician Services Of Memorial Hospital
Authorized official Jacob, Sissel
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2006
Last updated Feb 9th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831150119 NPPES
Kentucky MEDICAID 7100664020
Kentucky MEDICAID 7100584470
Kentucky MEDICAID 78905007
Kentucky MEDICAID 7100427470
Kentucky MEDICAID 74900804
Kentucky MEDICAID 65934523
Kentucky MEDICAID 7100644910

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