Organization · Type 2 NPI

Memorial Hospital Inc

Rural Acute Care Hospital · Beverly, KY

NPI number 1104443654 Active

Practice location

53 Queendale Ctr Ste 200
Beverly, KY 40913-9608

Fax (606) 599-2549

Specialties and licenses

Taxonomy	Code	License
Rural Acute Care Hospital Primary	282NR1301X	None listed

Rural Acute Care Hospital: Definition to come...

NPI record

NPI: 1104443654
Entity type: Organization (Type 2)
Issued: Jul 1, 2020
Last updated: Jan 13, 2021
Status: Active
Subpart: Yes of Adventhealth Sunbelt

Other names

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Adventhealth Sports Med and Rehab Red Bird · other name
Adventhealth Sports Med and Rehab Red Bird · other name

Authorized official

Christopher Self
CEO
(606) 598-5104

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104443654

Memorial Hospital Inc's National Provider Identifier is 1104443654, issued on Jul 1, 2020. The primary taxonomy on file is Rural Acute Care Hospital (282NR1301X), and the practice location is in Beverly, KY. The record was last updated on Jan 13, 2021.