ADVENTHEALTH MANCHESTER
NPI 1255471827
Clinic/Center - Rural Health in Manchester, KY

Q: What is Memorial Hospital Inc.'s NPI number?

The NPI number for Memorial Hospital Inc. is 1255471827. It was assigned to this organization in the NPPES registry on February 6, 2007. The provider is doing business as Adventhealth Manchester.

Q: 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.

Active since February 06, 2007CLIA Certified · 2 labs

56 MARIE LANGDON DR, MANCHESTER, KY 40962(606) 598-5104(606) 598-1688 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2023, Jan 13, 2021 (2 updates tracked since 2021).

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About Adventhealth Manchester NPPES

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

ADVENTHEALTH MANCHESTER (NPI 1255471827) is a healthcare organization registered as a rural health in Manchester, Kentucky and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Sissel Jacob, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1255471827

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameMEMORIAL HOSPITAL INC.

Location Address56 MARIE LANGDON DRManchester, KY 40962-6329

Mailing Address210 Marie Langdon DrManchester, KY 40962-6388 · (606) 598-5104

Phone(606) 598-5104

Fax(606) 598-1688

Organization SubpartNo

Authorized OfficialSissel JacobPresident/ceo · (606) 598-5104

Enumeration DateFebruary 6, 2007

Last NPPES UpdateFebruary 9, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2023

✔ NPI 1255471827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

License✔ Licensed in KY · 900236

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

56 MARIE LANGDON DR, Manchester, KY 40962

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Other Names 1

Doing Business AsAdventhealth Manchester

Other Identifiers 3

Medicaid7100339170KY

Medicaid31001134KY

OtherCC2941Rr Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 18D0323909

Adventhealth Manchester · Manchester, KY

Active · expires Nov 30, 2027

CLIA Number18D0323909

Laboratory TypeHospital

Certificate Effective DateDecember 1, 2025

Certificate Expiration DateNovember 30, 2027

Laboratory DirectorDr. Christine A. Meece

Laboratory Phone(606) 598-5104

Laboratory LocationAdventhealth Manchester210 Marie Langdon Dr, Manchester, KY 40962

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 18D1090919

Adventhealth Manchester Mobile Health Fair · Manchester, KY

Active · expires Apr 24, 2027

CLIA Number18D1090919

Laboratory TypeHealth Fair

Certificate Effective DateApril 25, 2025

Certificate Expiration DateApril 24, 2027

Laboratory DirectorMs. Michelle Reed

Laboratory Phone(606) 598-5104

Laboratory LocationAdventhealth Manchester Mobile Health Fair210 Marie Langdon Drive, Manchester, KY 40962

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KESHIA BREANNE WAGERS PH.D.

Psychologist