MANCHESTER EMERGENCY DEPARTMENT – NPI #1366624488
Emergency Medicine

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.

MANCHESTER EMERGENCY DEPARTMENT is a provider located in MANCHESTER, KY. NPPES has assigned the NPI number 1366624488 to MANCHESTER EMERGENCY DEPARTMENT on November 30, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MANCHESTER EMERGENCY DEPARTMENT” is a dba name, the actual legal business name for this organization is MEMORIAL HOSPITAL, INC.. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 5 years ago on Jan 13, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MANCHESTER EMERGENCY DEPARTMENT below.

NPI Profile for
MEMORIAL HOSPITAL, INC.

NPI Number
1366624488
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEMORIAL HOSPITAL, INC.
Doing Business As (dba): MANCHESTER EMERGENCY DEPARTMENT
Primary location
210 MARIE LANGDON DR
MANCHESTER, KY 40962-6388
Phone: (606) 598-5104 Fax: (606) 598-0983
Mailing address
509 MEMORIAL DR
SUITE 2
MANCHESTER, KY 40962-6195
Phone: (606) 598-5104 Fax: (606) 598-0983
Organization Subpart
No
Authorized Official
BENNY NOLEN
VICE PRESIDENT
Phone: (606) 598-5104
Updated
Certification Date
Jan 13, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MANCHESTER EMERGENCY DEPARTMENT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRR MEDICARECC2941
MEDICAIDKY65934523
MEDICAIDKY78905007
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.