NPIMap

Organization Active NPI

Memorial Hospital, Inc.

Doing business as Adventhealth Manchester

  • Rural Acute Care Hospital
  • Manchester, KY
National Provider Identifier
1811922347
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
100075 Issued in KY
Legal business name
MEMORIAL HOSPITAL, INC.
Doing business as
Adventhealth Manchester
Manchester Memorial Hospital
Practice address
210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone
(606) 598-1002
Fax
(606) 598-7008
NPI assigned
Jul 12, 2006
Last updated
Feb 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Zeah Schlisner
Title
Cfo
Phone
(606) 598-1081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 100075 KY Primary

Addresses

Primary practice location

210 Marie Langdon Dr
Manchester, KY 40962-6388

Mailing address

210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone (606) 598-5104

Other identifiers 10

IdentifierTypeStateIssuer
5000038OtherKYUNITED HEALTHCARE
65265OtherKYMEMORIAL EMPLOYEES
100033950AOtherININDIANA MEDICAID
6280695OtherKYAETNA
30523000OtherKYBLACK LUNG
87696OtherOHOHIO MEDICAID
902088800OtherKYMEDICAID
1004431MedicaidKY
65265OtherKYANTHEM BLUE CROSS
180043OtherKYMEDICARE MANAGED CARE

Other names 2

  • ADVENTHEALTH MANCHESTER Doing business as
  • Manchester Memorial Hospital Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com/ Other
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130620000577 FL Part A Provider - Rural Health Clinic 4486616141 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Beverly, KY
O20181217000619 KY Part A Provider - Hospital 4486616141 Practice locations: London, KY; Manchester, KY; McKee, KY

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1811922347. Details of each certification follow.

Rural health clinic certification: CCN 183484

Legal name
MEMORIAL HOSPITAL, INC.
Doing business as
ADVENTHEALTH MANCHESTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 6, 2014
Last certification
Mar 6, 2014
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
May 3, 1917 in KY
Enrollment address
53 Queendale Ctr
Beverly, KY 40913-9608
Related CCNs
180043

Hospital certification: CCN 180043

Legal name
MEMORIAL HOSPITAL, INC.
Doing business as
ADVENTHEALTH MANCHESTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 15, 2013
Beds
49
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Nov 3, 1917 in KY
Enrollment address
210 Marie Langdon Dr
Manchester, KY 40962-6388
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
AdventHealthManchesterCCN 180043 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 29

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alan Guyton, Jr Individual Corporate DirectorDirector May 1, 2020
Corporate OfficerCfo SE Region Apr 30, 2020
Jeffrey Graff Individual Corporate OfficerAssistant Secretary Sep 1, 2019
Zeah Schlisner Individual Contracted Managing EmployeeChief Financial Officer Nov 10, 2025
Corporate OfficerChief Financial Officer Nov 10, 2025
Operational/Managerial ControlChief Financial Officer Nov 10, 2025
Nicholas Bejarano Individual Contracted Managing EmployeeCeo/President Dec 15, 2024
Corporate OfficerCeo/President Dec 15, 2024
Operational/Managerial ControlCeo/President Dec 15, 2024
Corporate OfficerPresident and Ceo Dec 15, 2024
W-2 Managing EmployeePresident and Ceo Dec 15, 2024
Shawn R. Gorden Individual Corporate DirectorDirector Dec 12, 2024
Corporate DirectorBoard Member Jan 1, 2025
Diane Godfrey Individual Corporate OfficerAssistant Secretary Dec 11, 2025
Karsten Randolph Individual Corporate OfficerChairman Aug 25, 2022
James Phillips Individual Corporate DirectorDirector Dec 12, 2022
Corporate DirectorBoard Member Oct 21, 2003
Shane Gabbard Individual Corporate DirectorDirector Jun 4, 2020
Michael Saunders Individual Corporate OfficerAssistant Secretary Aug 25, 2022
Lucas Shepherd Individual Corporate DirectorDirector Jun 4, 2020
Corporate DirectorBoard Member Jan 1, 2023
Michael J Thompson Individual Corporate DirectorDirector Jan 29, 2023
Corporate DirectorBoard Chairperson May 8, 2023
Anita F Cornett Individual Corporate DirectorDirector Dec 7, 2017
Corporate DirectorBoard Member Jan 1, 2019
Mike Hewitt Individual Corporate DirectorDirector Dec 12, 2022
Corporate DirectorBoard Member Jan 1, 2025
Adventist Health System Sunbelt Healthcare Corporation Organization, Altamonte Springs, FL Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jan 1, 1982 100%
Reecia Samples Individual Corporate DirectorDirector Dec 31, 2020
Corporate DirectorBoard Member Nov 1, 2010
Amanda Brady Individual Corporate OfficerAssistant Secretary Feb 27, 2020
Toni Berrios Individual Corporate OfficerAssistant Secretary Aug 25, 2022
Haney Vincent Individual Corporate OfficerAssistant Secretary Dec 9, 2021
Marshall B House Individual Corporate DirectorDirector Dec 31, 2022
Corporate DirectorBoard Member Feb 9, 2009
David L Huffman Individual Corporate OfficerAssistant Secretary Feb 27, 2020
Robert C Foltz Individual Corporate OfficerAssistant Secretary Aug 25, 2022
Gregory C. Wilkens Individual Corporate DirectorDirector Jun 4, 2020
Corporate DirectorBoard Member Jul 31, 2020
Lynn Addiscott Individual Corporate OfficerAssistant Secretary Sep 1, 2019
Jennifer Hancock Individual Corporate DirectorDirector Jun 4, 2020
Beverly Morgan Individual Corporate OfficerAssistant Secretary Aug 21, 2025
Jennifer M Hancock Individual Corporate Director Jan 1, 2023
Jamie Couch Individual Corporate OfficerVice President Operations May 1, 2025
W-2 Managing EmployeeVice President Operations May 1, 2025
Adventist Health System Sunbelt Inc Organization, Altamonte Springs, FL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1982 100%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 85

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 85

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 122

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 122

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1811922347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MARIE LANGDON DR",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626388",
            "telephone_number": "606-598-5104",
            "fax_number": "606-598-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MARIE LANGDON DR",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626388",
            "telephone_number": "606-598-1002",
            "fax_number": "606-598-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "SCHLISNER",
        "authorized_official_first_name": "ZEAH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "606-598-1081"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "KY",
            "license": "100075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5000038",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMORIAL EMPLOYEES",
            "identifier": "65265",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA MEDICAID",
            "identifier": "100033950A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6280695",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "30523000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICAID",
            "identifier": "87696",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "902088800",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004431",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "65265",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MANAGED CARE",
            "identifier": "180043",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ADVENTHEALTH MANCHESTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Manchester Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Manchester Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, KY

Sources for this page

Verify at the official NPI Registry.