# MEMORIAL HOSPITAL INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADVENTHEALTH SUNBELT
- **Other names:** AdventHealth Sports Med and Rehab Red Bird
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104443654
- **Legal business name:** ADVENTHEALTH SUNBELT
- **Authorized official:** CHRISTOPHER SELF (CEO)
- **Authorized official phone:** (606) 598-5104

## Contact information

- **Practice address:** 53 QUEENDALE CTR STE 200, BEVERLY, KY 40913-9608
- **Practice address phone:** (606) 598-4525
- **Practice address fax:** (606) 599-2549
- **Mailing address:** 53 QUEENDALE CTR STE 200, BEVERLY, KY 40913-9608
- **Mailing address phone:** (606) 598-4525
- **Mailing address fax:** (606) 599-2549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 07/01/2020
- **Last updated:** 01/13/2021