MANCHESTER EMERGENCY DEPARTMENT
NPI 1366624488
Emergency Medicine in Manchester, KY

Active since November 30, 2007
210 MARIE LANGDON DR, MANCHESTER, KY 40962(606) 598-5104(606) 598-0983 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Manchester Emergency Department NPPES

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

MANCHESTER EMERGENCY DEPARTMENT (NPI 1366624488) is a healthcare organization registered as an emergency medicine in Manchester, Kentucky and active in the NPI registry since November 2007. The organization lists Benny Nolen, Vice President, as its authorized official.

NPPES Registry Identity

NPI1366624488
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameMEMORIAL HOSPITAL, INC.
Location Address210 MARIE LANGDON DRManchester, KY 40962-6388
Mailing Address509 Memorial Dr, Suite 2Manchester, KY 40962-6195 · (606) 598-5104 · Fax (606) 598-0983
Fax(606) 598-0983
Organization SubpartNo
Authorized OfficialBenny NolenVice President · (606) 598-5104
Enumeration DateNovember 30, 2007
Last NPPES UpdateJanuary 13, 2021
NPPES CertifiedJanuary 13, 2021
✔ NPI 1366624488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
210 MARIE LANGDON DR, Manchester, KY 40962

Other Names 1

Doing Business AsManchester Emergency Department

Other Identifiers 3

Medicaid65934523KY
Medicaid78905007KY
OtherCC2941Rr Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manchester Emergency Department 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 Manchester Emergency Department, 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 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 1215306600
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1770553463
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649926866
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1699951558
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOSSame address
Nurse Practitioner
NPI 1265104194
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 813-1772
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1811413487
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 599-4080
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1144216318
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOSSame address
Nurse Practitioner
NPI 1922541598
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 599-4080
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1780065391
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 599-4080
✔ PECOSSame address
Nurse Practitioner
NPI 1972858306
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOSSame address
Nurse Practitioner
NPI 1659809473
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 599-4080
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1629563747
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 599-4080
✔ PECOSSame address
Nurse Practitioner
NPI 1568919728
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 599-4080
✔ PECOSSame address
Nurse Practitioner
NPI 1811220171
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 599-4080
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1104496504
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-4539
✔ PECOSSame address
Orthopedic Surgery
NPI 1194916213
120 MARIE LANGDON DR SUITE 1
Manchester, KY 40962
(606) 598-4529
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033159223
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1720510837
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-6800
✔ PECOSSame address
Osteopathic Manipulative Medicine
NPI 1134231822
94 MARIE LANGDON DR STE 2
Manchester, KY 40962
(606) 599-9955
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1205086097
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOS✔ Accepts MedicareSame address
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.

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 1366624488. It was assigned to this organization in the NPPES registry on November 30, 2007. The provider is doing business as Manchester Emergency Department.

Where is Memorial Hospital, Inc. located?

Memorial Hospital, Inc. is located at 210 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 Emergency Medicine with taxonomy code 207P00000X.

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). 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.

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.