# MEMORIAL HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clay County Primary Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457592693
- **Authorized official:** MR. BENNY NOLEN (VICE PRESIDENT)
- **Authorized official phone:** (606) 598-5104

## Contact information

- **Practice address:** 509 MEMORIAL DR, SUITE 2, MANCHESTER, KY 40962-6195
- **Practice address phone:** (606) 598-8813
- **Practice address fax:** (606) 598-0983
- **Mailing address:** 509 MEMORIAL DR, SUITE 2, MANCHESTER, KY 40962-6195
- **Mailing address phone:** (606) 598-8813
- **Mailing address fax:** (606) 598-0983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 03/18/2009
- **Last updated:** 01/13/2021