ADVENTHEALTH MCKEE CLINIC
NPI 1023649514
Clinic/Center - Rural Health in Mckee, KY

Active since February 03, 2020CLIA 18D2235142 · Waiver
241 MAIN ST S, MCKEE, KY 40447(606) 287-3444(606) 287-3445 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 17, 2021, Apr 22, 2021, Jan 13, 2021 and 1 more (4 updates tracked since 2020).

About Adventhealth Mckee Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVENTHEALTH MCKEE CLINIC (NPI 1023649514) is a healthcare organization registered as a rural health in Mckee, Kentucky and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through September 6, 2027, maintains a secondary practice location in Manchester, and lists Christopher Self, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023649514
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMEMORIAL HOSPITAL, INC.
Location Address241 MAIN ST SMckee, KY 40447-7081
Mailing Address56 Marie Langdon DrManchester, KY 40962-6329 · (606) 598-5104 · Fax (606) 598-0983
Fax(606) 287-3445
Organization SubpartNo
Authorized OfficialChristopher SelfCeo · (606) 598-5104
Enumeration DateFebruary 3, 2020
Last NPPES UpdateMay 17, 20214 updates tracked since enumeration
NPPES CertifiedApril 27, 2021
✔ NPI 1023649514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
241 MAIN ST S, Mckee, KY 40447

Other Names 1

Doing Business AsAdventhealth Mckee Clinic

Secondary Practice Location 1

Location 1485 Memorial Dr Ste 2Manchester, KY 40962-9111 · Phone (606) 599-0221 · Fax (606) 599-0225

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adventhealth Mckee Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

123

Medicare enrollment records show 123 clinicians reassign Medicare billing to Adventhealth Mckee Clinic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Nurse Practitioner59
Internal Medicine10
Certified Registered Nurse Anesthetist (CRNA)8
Emergency Medicine5
General Surgery5
Diagnostic Radiology4
Family Practice4
Pediatric Medicine4
16 other specialties24

Nearest to this location (20)

See all 123
Nurse Practitioner
NPI 1154905008
826 KY 11 N
Booneville, KY 41314
(606) 593-6395
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1063723450
2659 NORTH LAUREL ROAD
East Bernstadt, KY 40729
(606) 843-6195
✔ PECOS✔ Accepts Medicare18 mi
Family Practice
NPI 1073525861
102 PROFESSIONAL DR SUITE #2
London, KY 40741
(606) 878-9611
✔ PECOS✔ Accepts Medicare20 mi
Cardiovascular Disease (Cardiology)
NPI 1811993280
1380 HIGHWAY 192 E
London, KY 40741
(606) 330-0050
✔ PECOS✔ Accepts Medicare22 mi
Internal Medicine
NPI 1063611564
1001 SAINT JOSEPH LN
London, KY 40741
(606) 330-6533
✔ PECOS✔ Accepts Medicare22 mi
Geriatric Medicine
NPI 1730135138
73 THOMPSON POYNTER ROAD SUITE A
London, KY 40741
(606) 877-1446
✔ PECOS✔ Accepts Medicare23 mi
Obstetrics/Gynecology
NPI 1851482947
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 599-4080
✔ PECOS✔ Accepts Medicare24 mi
Emergency Medicine
NPI 1720510837
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-6800
✔ PECOS24 mi
Osteopathic Manipulative Medicine
NPI 1134231822
94 MARIE LANGDON DR STE 2
Manchester, KY 40962
(606) 599-9955
✔ PECOS✔ Accepts Medicare24 mi
Urology
NPI 1144216318
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOS24 mi
Pediatric Medicine
NPI 1780065391
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 599-4080
✔ PECOS24 mi
Pediatric Medicine
NPI 1629563747
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 599-4080
✔ PECOS24 mi
Clinical Psychologist
NPI 1104496504
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-4539
✔ PECOS24 mi
Orthopedic Surgery
NPI 1194916213
120 MARIE LANGDON DR SUITE 1
Manchester, KY 40962
(606) 598-4529
✔ PECOS✔ Accepts Medicare24 mi
Internal Medicine
NPI 1770553463
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOS✔ Accepts Medicare24 mi
Emergency Medicine
NPI 1699951558
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOS24 mi
Clinical Social Worker
NPI 1811413487
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 599-4080
✔ PECOS✔ Accepts Medicare24 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1205086097
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOS✔ Accepts Medicare24 mi
General Surgery
NPI 1134214596
515 MEMORIAL DR STE 1
Manchester, KY 40962
(606) 598-4534
✔ PECOS✔ Accepts Medicare24 mi
Clinical Social Worker
NPI 1487309449
1043 CENTER DR
Richmond, KY 40475
(859) 314-1281
✔ PECOS✔ Accepts Medicare25 mi
See all 123 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2235142

Adventhealth Mckee Clinic · Mc Kee, KY
Active · expires Sep 6, 2027
CLIA Number18D2235142
Laboratory TypePhysician Office
Certificate Effective DateSeptember 7, 2025
Certificate Expiration DateSeptember 6, 2027
Laboratory DirectorDr. Ashtin Nix
Laboratory Phone(606) 287-3444
Laboratory LocationAdventhealth Mckee Clinic241 Main Street South, Mc Kee, KY 40447
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Memorial Hospital, Inc.'s NPI number?

The NPI number for Memorial Hospital, Inc. is 1023649514. It was assigned to this organization in the NPPES registry on February 3, 2020. The provider is doing business as Adventhealth Mckee Clinic.

Where is Memorial Hospital, Inc. located?

Memorial Hospital, Inc. is located at 241 Main St S, Mckee, KY 40447. The listed phone number is (606) 287-3444.

What is Memorial Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Memorial Hospital, Inc. enrolled in Medicare?

Yes. Memorial Hospital, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Memorial Hospital, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 123 clinicians in 24 Medicare specialties reassign their Medicare billing to Memorial Hospital, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (59), Internal Medicine (10) and Certified Registered Nurse Anesthetist (CRNA) (8). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Memorial Hospital, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2235142) is associated with this NPI, valid through September 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Memorial Hospital, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Memorial Hospital, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Memorial Hospital, Inc. was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.