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Organization
MEMORIAL HOSPITAL, INC.
Active
Organization
MEMORIAL HOSPITAL, INC.
Active
Other names
Clay County Primary Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENNY NOLEN (VICE PRESIDENT)
(606) 598-5104
Entity
Organization
Contact information
Practice address
509 MEMORIAL DR, SUITE 2, MANCHESTER, KY 40962-6195
(606) 598-8813
(606) 598-0983
Mailing address
509 MEMORIAL DR, SUITE 2, MANCHESTER, KY 40962-6195
(606) 598-8813
(606) 598-0983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
03/18/2009
Last updated
01/13/2021
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