Organization
MEMORIAL HOSPITAL INC
Active
Organization
MEMORIAL HOSPITAL INC
Active
Other names
AdventHealth London Parkway Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER SELF (CEO)
(606) 598-5104
Entity
Organization
Contact information
Practice address
102 PROFESSIONAL DR STE 2, LONDON, KY 40741-8857
(606) 878-9611
(606) 878-6833
Mailing address
56 MARIE LANGDON DR, MANCHESTER, KY 40962-6329
(606) 598-5104
(606) 712-1200
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
08/20/2021
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