Active NPI
Memorial Hospital, Inc.
- Specialist
- Manchester, KY
National Provider Identifier
1831150119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- MEMORIAL HOSPITAL, INC.
- Practice address
- 210 Marie Langdon Dr
Manchester, KY 40962-6388 - Phone
- (606) 598-5104
- Fax
- (606) 598-0983
- NPI assigned
- Mar 28, 2006
- Organization subpart
- No
NPPES NPI Registry
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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | |||
| Specialist | 174400000X | KY | Primary | |
| Emergency Medicine Physician | 207P00000X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | |||
| Physician Assistant | 363A00000X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Certified Registered Nurse Anesthetist | 367500000X |
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 practice location 1
485 Memorial Dr Ste 1
Manchester, KY 40962-9111
Phone (606) 599-0221
Other practice location 2
1380 Highway 192 E
London, KY 40741-3123
Phone (606) 330-0050
Other practice location 3
65 Glenndale Rd Ste 2
Manchester, KY 40962-6212
Phone (606) 598-4529
Other practice location 4
306 Langdon St
Somerset, KY 42503
Phone (606) 679-7441
Other practice location 5
65 Glenndale Rd Ste 1
Manchester, KY 40962-6212
Phone (606) 599-2508
Other practice location 6
120 Marie Langdon Dr Ste 1
Manchester, KY 40962-6352
Phone (606) 598-4529
Other practice location 7
94 Marie Langdon Dr Ste 1
Manchester, KY 40962-6345
Phone (606) 599-0396
Other practice location 8
509 Memorial Dr Ste 2
Manchester, KY 40962-6196
Phone (606) 598-8813
Other practice location 9
515 Memorial Dr Ste 1
Manchester, KY 40962-9157
Phone (606) 598-4500
Other practice location 10
102 Professional Dr Ste 2
London, KY 40741-8857
Phone (606) 878-9611
Other practice location 11
120 Marie Langdon Dr Ste 2
Manchester, KY 40962-6352
Phone (606) 598-0328
Other practice location 12
94 Marie Langdon Dr Ste 2
Manchester, KY 40962-6345
Phone (606) 599-9955
Other practice location 13
145 Orchard St
Oneida, KY 40972-6409
Phone (606) 847-4000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100664020 | Medicaid | KY | |
| 7100584470 | Medicaid | KY | |
| 78905007 | Medicaid | KY | |
| 7100427470 | Medicaid | KY | |
| 74900804 | Medicaid | KY | |
| 65934523 | Medicaid | KY | |
| 7100644910 | Medicaid | KY |
Other names 1
- Physician Services of Memorial Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041103001183 | KY | Part B Supplier - Clinic/Group Practice | 4486616141 |
Receives reassigned benefits from 129 practitioners 20 other NPIs on this enrollment Practice locations: Pineville, KY; Somerset, KY; Oneida, KY; MC Kee, KY; Manchester, KY; London, KY; Corbin, KY; Beverly, KY |
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 20
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
485 Memorial Dr
Ste 5
Manchester, KY 40962
120 Marie Langdon Dr
Ste 2
Manchester, KY 40962
Phone (606) 598-0328
Practitioners & affiliated clinicians
Practitioners 136
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Williamsburg, KY
- NPI 1871531889
Emergency Medicine, KY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778630400000",
"number": "1831150119",
"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"
},
{
"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": "606-598-5104",
"fax_number": "606-598-0983"
}
],
"practiceLocations": [
{
"address_1": "485 Memorial Dr Ste 1",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "KY",
"postal_code": "409629111",
"country_code": "US",
"telephone_number": "606-599-0221",
"fax_number": "606-599-0225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1380 Highway 192 E",
"address_purpose": "LOCATION",
"city": "London",
"state": "KY",
"postal_code": "407413123",
"country_code": "US",
"telephone_number": "606-330-0050",
"fax_number": "606-330-0029",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "65 Glenndale Rd Ste 2",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "KY",
"postal_code": "409626212",
"country_code": "US",
"telephone_number": "606-598-4529",
"fax_number": "606-599-2529",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "306 Langdon St",
"address_purpose": "LOCATION",
"city": "Somerset",
"state": "KY",
"postal_code": "42503",
"country_code": "US",
"telephone_number": "606-679-7441",
"fax_number": "606-598-0983",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "65 Glenndale Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "KY",
"postal_code": "409626212",
"country_code": "US",
"telephone_number": "606-599-2508",
"fax_number": "606-599-2507",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 Marie Langdon Dr Ste 1",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "KY",
"postal_code": "409626352",
"country_code": "US",
"telephone_number": "606-598-4529",
"fax_number": "606-599-2529",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "94 Marie Langdon Dr Ste 1",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "KY",
"postal_code": "409626345",
"country_code": "US",
"telephone_number": "606-599-0396",
"fax_number": "606-599-0586",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "509 Memorial Dr Ste 2",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "KY",
"postal_code": "409626196",
"country_code": "US",
"telephone_number": "606-598-8813",
"fax_number": "606-598-1688",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "515 Memorial Dr Ste 1",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "KY",
"postal_code": "409629157",
"country_code": "US",
"telephone_number": "606-598-4500",
"fax_number": "606-599-2540",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "102 Professional Dr Ste 2",
"address_purpose": "LOCATION",
"city": "London",
"state": "KY",
"postal_code": "407418857",
"country_code": "US",
"telephone_number": "606-878-9611",
"fax_number": "606-878-6833",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 Marie Langdon Dr Ste 2",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "KY",
"postal_code": "409626352",
"country_code": "US",
"telephone_number": "606-598-0328",
"fax_number": "606-599-0296",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "94 Marie Langdon Dr Ste 2",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "KY",
"postal_code": "409626345",
"country_code": "US",
"telephone_number": "606-599-9955",
"fax_number": "606-599-9966",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "145 Orchard St",
"address_purpose": "LOCATION",
"city": "Oneida",
"state": "KY",
"postal_code": "409726409",
"country_code": "US",
"telephone_number": "606-847-4000",
"fax_number": "606-847-9331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MEMORIAL HOSPITAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-28",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"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": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "KY",
"license": null,
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100664020",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100584470",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78905007",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100427470",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74900804",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65934523",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100644910",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Physician Services of Memorial Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Manchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.