ADVENTHEALTH MANCHESTER
NPI 1255471827
Clinic/Center - Rural Health in Manchester, KY
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
Specialties & Licenses 6
Other Names 1
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Adventhealth Manchester is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
127Medicare enrollment records show 127 clinicians reassign Medicare billing to Adventhealth Manchester, which bills Medicare for the services they deliver. Of these, 21 practice at this address and 41 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 25
Nearest to this location (20)
See all 127Source: 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 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, KYCertificate of Waiver 18D1090919
Adventhealth Manchester Mobile Health Fair · Manchester, KYFrequently 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 1255471827. It was assigned to this organization in the NPPES registry on February 6, 2007. The provider is doing business as Adventhealth Manchester.
Where is Memorial Hospital Inc. located?
Memorial Hospital Inc. is located at 56 Marie Langdon Dr, Manchester, KY 40962. The listed phone number is (606) 598-5104.
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.
When is Memorial Hospital Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Kentucky, Rural Health Clinic) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Memorial Hospital Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 127 clinicians in 25 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). Of these, 21 practice at this address and 41 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Memorial Hospital Inc. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
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 February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Adventhealth Manchester · NPI 1255471827
Rural Health organization in Manchester, Kentucky. Organization record, active in the CMS NPPES registry since February 6, 2007.
## Identity
- **NPI:** 1255471827 (Entity type: Organization)
- **Enumerated:** February 6, 2007
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Memorial Hospital Inc.
- **Organization subpart:** No
- **Authorized official:** Sissel Jacob, PRESIDENT/CEO
## Practice location
- **Address:** 56 MARIE LANGDON DR, Manchester, KY 40962-6329
- **Phone:** (606) 598-5104 · **Fax:** (606) 598-1688
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Part A, Kentucky, Rural Health Clinic) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 127 clinicians in 25 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (59), Internal Medicine (10), Certified Registered Nurse Anesthetist (CRNA) (8); 21 practice at this address and 41 within 10 miles; [full list](https://npiprofile.com/npi/1255471827/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2023
- **Other identifiers:** Medicaid 7100339170 (KY); Medicaid 31001134 (KY); Other CC2941
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255471827) · Data from the CMS NPPES public registry.