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

Memorial Hospital, Inc

Organization Family Medicine Physician · NPI 1912137720

Memorial Hospital, Inc is a Family Medicine Physician in Manchester, Kentucky. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
4
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

515 Memorial Dr Ste 1
Manchester, KY 40962-9157
Phone: (606) 598-4524
Fax: (606) 599-2554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1912137720
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sissel Jacob — Ceo · (606) 598-5104
Other names Adventhealth Medical Group Manchester; Adventhealth Wound Care At Manchester
NPI enumeratedJuly 15, 2009
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023
Mailing address210 Marie Langdon Dr, Manchester, KY 40962-6388

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