Organization
MEMORIAL HOSPITAL, INC.
Active
Other names
Lifeway Medical Care
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE FARMER (BILLING MANAGER)
(606) 598-5104
Entity
Organization
Contact information
Practice address
515 MEMORIAL DR, MANCHESTER, KY 40962-9157
(606) 598-4530
(606) 599-2530
Mailing address
509 MEMORIAL DR, SUITE 2, MANCHESTER, KY 40962-6195
(606) 598-5104
(606) 598-0983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31001134
—
KY
Enumeration date
09/16/2014
Last updated
01/13/2021
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