Organization
MEMORIAL HOSPITAL, INC.
Active
Other names
Manchester Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENNY NOLEN (VICE PRESIDENT)
(606) 598-5104
Entity
Organization
Contact information
Practice address
120 MARIE LANGDON DR, MANCHESTER, KY 40962-6352
(606) 598-5104
(606) 598-6507
Mailing address
509 MEMORIAL DR, MANCHESTER, KY 40962-6195
(606) 598-5104
(606) 598-6507
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65934523
—
KY
01
—
CC2941
RR MEDICARE
—
Enumeration date
04/30/2007
Last updated
01/13/2021
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