| Adventhealth Manchester | |
|
56 Marie Langdon Dr Manchester KY 40962-6329 | |
| (606) 598-5104 | |
| (606) 598-1688 |
| Full Name | Adventhealth Manchester |
|---|---|
| Speciality | Clinic/Center |
| Location | 56 Marie Langdon Dr, Manchester, Kentucky |
| Authorized Official Name and Position | Sissel Jacob (PRESIDENT/CEO) |
| Authorized Official Contact | 6065985104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventhealth Manchester 210 Marie Langdon Dr Manchester KY 40962-6388 Ph: (606) 598-5104 | Adventhealth Manchester 56 Marie Langdon Dr Manchester KY 40962-6329 Ph: (606) 598-5104 |
| NPI Number | 1255471827 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 02/09/2023 |
| Medicare PECOS PAC ID | 4486616141 |
|---|---|
| Medicare Enrollment ID | O20100305000639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255471827 | NPI | - | NPPES |
| 7100339170 | Medicaid | KY | |
| 31001134 | Medicaid | KY | |
| CC2941 | Other | RR MEDICARE |
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