Organization
MEMORIAL HOSPITAL, INC.
Active
Other names
Physician Services of 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) 598-5104
(606) 598-0983
Mailing address
210 MARIE LANGDON DR, MANCHESTER, KY 40962-6388
(606) 598-5104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
174400000X
Specialist
Primary
—
KY
207P00000X
Emergency Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65934523
—
KY
05
—
7100427470
—
KY
05
—
7100584470
—
KY
05
—
7100644910
—
KY
05
—
7100664020
—
KY
05
—
74900804
—
KY
05
—
78905007
—
KY
Enumeration date
03/28/2006
Last updated
05/13/2026
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