Organization
MEMORIAL HOSPITAL, INC.
Active
Other names
AdventHealth Red Bird Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SISSEL JACOB (CEO)
(606) 598-5104
Entity
Organization
Contact information
Practice address
53 QUEENDALE CTR STE 2, BEVERLY, KY 40913-8621
(606) 598-5135
(606) 599-2525
Mailing address
210 MARIE LANGDON DR, MANCHESTER, KY 40962-6388
(606) 598-5104
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100312760
—
KY
Enumeration date
01/03/2011
Last updated
02/09/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us