# MEMORIAL HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Physician Services of Memorial Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831150119
- **Authorized official:** ZEAH SCHLISNER (CFO)
- **Authorized official phone:** (606) 598-1081

## Contact information

- **Practice address:** 210 MARIE LANGDON DR, MANCHESTER, KY 40962-6388
- **Practice address phone:** (606) 598-5104
- **Practice address fax:** (606) 598-0983
- **Mailing address:** 210 MARIE LANGDON DR, MANCHESTER, KY 40962-6388
- **Mailing address phone:** (606) 598-5104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | KY | Yes |
| 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

- **Enumeration date:** 03/28/2006
- **Last updated:** 05/13/2026

## 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 |