ADVENTHEALTH RED BIRD CLINIC
NPI 1558665752
Clinic/Center - Rural Health in Beverly, KY
About Adventhealth Red Bird Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVENTHEALTH RED BIRD CLINIC (NPI 1558665752) is a healthcare organization registered as a rural health in Beverly, Kentucky and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through December 13, 2027 and lists Sissel Jacob, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
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 Red Bird Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
124Medicare enrollment records show 124 clinicians reassign Medicare billing to Adventhealth Red Bird Clinic, which bills Medicare for the services they deliver. Of these, 1 practice 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 124Source: 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 18D0323887
Adventhealth Red Bird Clinic · Beverly, 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 1558665752. It was assigned to this organization in the NPPES registry on January 3, 2011. The provider is doing business as Adventhealth Red Bird Clinic.
Where is Memorial Hospital, Inc. located?
Memorial Hospital, Inc. is located at 53 Queendale Ctr Ste 2, Beverly, KY 40913. The listed phone number is (606) 598-5135.
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), 124 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, 1 practice within 10 miles. 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 18D0323887) is associated with this NPI, valid through December 13, 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 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 Red Bird Clinic · NPI 1558665752
Rural Health organization in Beverly, Kentucky. Organization record, active in the CMS NPPES registry since January 3, 2011.
## Identity
- **NPI:** 1558665752 (Entity type: Organization)
- **Enumerated:** January 3, 2011
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Memorial Hospital, Inc.
- **Organization subpart:** No
- **Authorized official:** Sissel Jacob, CEO
## Practice location
- **Address:** 53 QUEENDALE CTR STE 2, Beverly, KY 40913-8621
- **Phone:** (606) 598-5135 · **Fax:** (606) 599-2525
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 124 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); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1558665752/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2023
- **Other identifiers:** Medicaid 7100312760 (KY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1558665752) · Data from the CMS NPPES public registry.