NPIMap

Organization Active NPI

Memorial Hospital, Inc.

Doing business as Physician Services of Memorial Hospital

  • Specialist
  • Manchester, KY
National Provider Identifier
1831150119
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MEMORIAL HOSPITAL, INC.
Doing business as
Physician Services of Memorial Hospital
Practice address
210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone
(606) 598-5104
Fax
(606) 598-0983
NPI assigned
Mar 28, 2006
Last updated
May 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 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 10

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X KY Primary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Substance Abuse Rehabilitation Facility 324500000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 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

145 Orchard St
Oneida, KY 40972-6409
Phone (606) 847-4000

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

306 Langdon St
Somerset, KY 42503
Phone (606) 679-7441

Other names 1

  • Physician Services of Memorial Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

View all 20

National Provider Directory

National Provider Directory

Locations

60 S Stewart Rd
Ste 110
Corbin, KY 40701
Phone (606) 658-8420

485 Memorial Dr
Ste 1
Manchester, KY 40962
Phone (606) 599-0221

485 Memorial Dr
Ste 5
Manchester, KY 40962

515 Memorial Dr
Manchester, KY 40962
Phone (606) 598-4530

65 Glenndale Rd
#2
Manchester, KY 40962
Phone (606) 598-4500

94 Marie Langdon Dr
Ste 4
Manchester, KY 40962
Phone (606) 598-7900

Practitioners & affiliated clinicians

Practitioners 136

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.

View all 136

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": "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"
        },
        {
            "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": "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"
        }
    ],
    "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": [],
    "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.

Verify at the official NPI Registry.