Organization
MEMORIAL HOSPITAL INC
Active
Organization
MEMORIAL HOSPITAL INC
Active
Parent organization
MEMORIAL HOSPITAL INC
Other names
AdventHealth Pineville Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL INC
Authorized official
SISSEL JACOB (CEO)
(606) 598-5104
Entity
Organization
Contact information
Practice address
12904 ROBERT L MADON BYP STE 2, PINEVILLE, KY 40977-8063
(606) 598-4508
(606) 712-1200
Mailing address
11217 HIGHWAY 421 S, TYNER, KY 40486-8352
(606) 598-5104
(606) 712-1200
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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