Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Memorial Hospital, Inc

Organization Family Medicine Physician · NPI 1558665752

Memorial Hospital, Inc is a Family Medicine Physician in Beverly, Kentucky. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

53 Queendale Ctr Ste 2
Beverly, KY 40913-8621
Phone: (606) 598-5135
Fax: (606) 599-2525
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1558665752
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sissel Jacob — Ceo · (606) 598-5104
Other names Adventhealth Red Bird Clinic
NPI enumeratedJanuary 3, 2011
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023
Mailing address210 Marie Langdon Dr, Manchester, KY 40962-6388

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