Memorial Hospital Inc, NPI 1194744664
Home Health Agency in Manchester, KY, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1194744664 |
| NPI Entity Type | Organization |
| Provider Name |
Memorial Hospital Inc
Doing Business As |
| Subpart of Organization | Memorial Hospital Inc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 94 Marie Langdon Dr Ste 6, Manchester, KY, US |
| Provider Mailing Address | 210 Marie Langdon Dr, Manchester, KY, US, 409626388 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Gary Carlson |
| Official Position | CFO |
| Phone | 606-598-5104 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Home Health Agency |
| Classification | |
| Group | |
| License No. | 150039 |
| License State | KY |
| Description | A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 100033950A | IN | INDIANA MEDICAID | 01 |
| 34002808 | KY | MEDICAID | 05 |
| A87696 | OH | MEDICAID OHIO | 01 |
| 0005154214 | KY | AETNA | 01 |
| 65265 | KY | ANTHEM BLUE CROSS | 01 |
| 100443100 | KY | MEDICAID PENDING | 01 |
| 30523000 | KY | BLACK LUNG | 01 |
| 4200280 | KY | MEDICAID | 05 |
| 5000038 | KY | UNITED HEALTHCARE | 01 |
| 001703971 | WV | BLUE CROSS BLUE SHIELD WV | 01 |
| 1038912 | WV | BRICK STREET MTL WV WC | 01 |
| 180043 | KY | MEDICARE MANAGED CARE | 01 |
| 1004431 | TN | MEDICAID TENNESSEE | 01 |
| 65265 | KY | MEMORIAL EMPLOYEES | 01 |
| 000000054585 | KY | BLUE CROSS BLUE SHIELD KY | 01 |
| 100443100 | KY | PASSPOST HEALTH PLAN | 01 |
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