ADVENTHEALTH WOUND CARE AT MANCHESTER – NPI #1912137720
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.

Health Care Provider Taxonomy Code for Family Medicine

ADVENTHEALTH WOUND CARE AT MANCHESTER is a provider located in MANCHESTER, KY. NPPES has assigned the NPI number 1912137720 to ADVENTHEALTH WOUND CARE AT MANCHESTER on July 15, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVENTHEALTH WOUND CARE AT MANCHESTER” is a dba name, the actual legal business name for this organization is MEMORIAL HOSPITAL, INC.. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, 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 3 years ago on Feb 09, 2023. 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 ADVENTHEALTH WOUND CARE AT MANCHESTER below.

NPI Profile for
MEMORIAL HOSPITAL, INC.

NPI Number
1912137720
Enumeration Date

(about 17 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): ADVENTHEALTH WOUND CARE AT MANCHESTER
Other name(s)
All associated names:
Doing Business As (dba)
AdventHealth Medical Group Manchester
Doing Business As (dba)
AdventHealth Wound Care At Manchester
Primary location
515 MEMORIAL DR STE 1
MANCHESTER, KY 40962-9157
Phone: (606) 598-4524 Fax: (606) 599-2554
Mailing address
210 MARIE LANGDON DR
MANCHESTER, KY 40962-6388
Phone: (606) 598-5104 Fax:
Organization Subpart
No
Authorized Official
SISSEL JACOB
CEO
Phone: (606) 598-5104
Updated
Certification Date
Feb 09, 2023

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 ADVENTHEALTH WOUND CARE AT MANCHESTER

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
medicaidKY78905007
medicaidKY65934523
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)
363LF0000X
- Nurse Practitioner / Family
363L00000X
- Nurse Practitioner
208000000X
- Pediatrics

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.