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ADVENTHEALTH SPORTS MED AND REHAB RED BIRD
NPI 1104443654
General Acute Care Hospital - Rural in Beverly, KY

Active since July 01, 2020
53 QUEENDALE CTR STE 200, BEVERLY, KY 40913(606) 598-4525(606) 599-2549 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2021, Jul 1, 2020 (2 updates tracked since 2020).

About Adventhealth Sports Med And Rehab Red Bird NPPES

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

ADVENTHEALTH SPORTS MED AND REHAB RED BIRD (NPI 1104443654) is a healthcare organization registered as a rural in Beverly, Kentucky and active in the NPI registry since July 2020. The organization lists Christopher Self, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104443654
Entity TypeOrganization
Primary Taxonomy282NR1301X
Legal Business NameMEMORIAL HOSPITAL INC
Location Address53 QUEENDALE CTR STE 200Beverly, KY 40913-9608
Mailing Address53 Queendale Ctr Ste 200Beverly, KY 40913-9608 · (606) 598-4525 · Fax (606) 599-2549
Phone(606) 598-4525
Fax(606) 599-2549
Organization SubpartYesParent: Adventhealth Sunbelt
Authorized OfficialChristopher SelfCeo · (606) 598-5104
Enumeration DateJuly 1, 2020
Last NPPES UpdateJanuary 13, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2021
✔ NPI 1104443654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · RuralHospitals
Taxonomy Code282NR1301X
53 QUEENDALE CTR STE 200, Beverly, KY 40913
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Other Names 1

Other NameAdventhealth Sports Med And Rehab Red Bird

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 1104443654. It was assigned to this organization in the NPPES registry on July 1, 2020. The provider is also known as Adventhealth Sports Med And Rehab Red Bird.

Where is Memorial Hospital Inc located?

Memorial Hospital Inc is located at 53 Queendale Ctr Ste 200, Beverly, KY 40913. The listed phone number is (606) 598-4525.

What is Memorial Hospital Inc's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Rural, with taxonomy code 282NR1301X.

When was this NPI record last updated?

The NPPES record for Memorial Hospital Inc was last updated on January 13, 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.