Organization
MEMORIAL HOSPITAL, INC.
Active
Other names
ADVENTHEALTH MANCHESTER, Manchester Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ZEAH SCHLISNER (CFO)
(606) 598-1081
Entity
Organization
Contact information
Practice address
210 MARIE LANGDON DR, MANCHESTER, KY 40962-6388
(606) 598-1002
(606) 598-7008
Mailing address
210 MARIE LANGDON DR, MANCHESTER, KY 40962-6388
(606) 598-5104
(606) 598-7008
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
100075
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100033950A
INDIANA MEDICAID
IN
05
—
1004431
—
KY
01
—
180043
MEDICARE MANAGED CARE
KY
01
—
30523000
BLACK LUNG
KY
01
—
5000038
UNITED HEALTHCARE
KY
01
—
6280695
AETNA
KY
01
—
65265
MEMORIAL EMPLOYEES
KY
01
—
87696
OHIO MEDICAID
OH
01
—
902088800
MEDICAID
KY
Enumeration date
07/12/2006
Last updated
02/11/2026
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