PHYSICIAN SERVICES OF MEMORIAL HOSPITAL – NPI #1245370824
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

PHYSICIAN SERVICES OF MEMORIAL HOSPITAL is a provider located in MANCHESTER, KY. NPPES has assigned the NPI number 1245370824 to PHYSICIAN SERVICES OF MEMORIAL HOSPITAL on February 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PHYSICIAN SERVICES OF MEMORIAL HOSPITAL” is a dba name, the actual legal business name for this organization is MEMORIAL HOSPITAL. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family 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 PHYSICIAN SERVICES OF MEMORIAL HOSPITAL below.

NPI Profile for
MEMORIAL HOSPITAL

NPI Number
1245370824
Enumeration Date

(more than 19 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
Doing Business As (dba): PHYSICIAN SERVICES OF MEMORIAL HOSPITAL
Primary location
210 MARIE LANGDON DR
MANCHESTER, KY 40962-6388
Phone: (606) 598-5104 Fax: (606) 599-0983
Mailing address
Same as primary location
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.

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
207Q00000X
- Family Medicine (Primary)
KY 900134

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.