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Organization
MEMORIAL HOSPITAL, INC.
Active
Organization
MEMORIAL HOSPITAL, INC.
Active
Other names
Physician Services of 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) 598-5104
(606) 598-0983
Mailing address
210 MARIE LANGDON DR, MANCHESTER, KY 40962-6388
(606) 598-5104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
174400000X
Specialist
Primary
—
KY
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65934523
—
KY
05
—
7100427470
—
KY
05
—
7100584470
—
KY
05
—
7100644910
—
KY
05
—
7100664020
—
KY
05
—
74900804
—
KY
05
—
78905007
—
KY
Enumeration date
03/28/2006
Last updated
05/13/2026
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