Organization
MEMORIAL HOSPITAL, INC.
Active
Other names
Mountain Medical Associates of London
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENNY NOLEN (VICE PRESIDENT)
(606) 598-5104
Entity
Organization
Contact information
Practice address
102 PROFESSIONAL DR, SUITE 3, LONDON, KY 40741-8857
(606) 864-2788
(606) 864-2797
Mailing address
509 MEMORIAL DR, SUITE 2, MANCHESTER, KY 40962-6195
(606) 598-5104
(606) 598-0983
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65934523
—
KY
Enumeration date
05/14/2008
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