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Organization
MEMORIAL HOSPITAL, INC.
Active
Organization
MEMORIAL HOSPITAL, INC.
Active
Other names
ADVENTHEALTH MANCHESTER, Manchester Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ZEAH SCHLISNER (CFO)
(606) 598-1081
Entity
Organization
Contact information
Practice address
210 MARIE LANGDON DR, MANCHESTER, KY 40962-6388
(606) 598-1002
(606) 598-7008
Mailing address
210 MARIE LANGDON DR, MANCHESTER, KY 40962-6388
(606) 598-5104
(606) 598-7008
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
100075
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100033950A
INDIANA MEDICAID
IN
05
—
1004431
—
KY
01
—
180043
MEDICARE MANAGED CARE
KY
01
—
30523000
BLACK LUNG
KY
01
—
5000038
UNITED HEALTHCARE
KY
01
—
6280695
AETNA
KY
01
—
65265
ANTHEM BLUE CROSS
KY
01
—
87696
OHIO MEDICAID
OH
01
—
902088800
MEDICAID
KY
Enumeration date
07/12/2006
Last updated
02/11/2026
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