OrganizationMemorial Hospital, Inc.(Lifeway Medical Care)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address515 Memorial Dr, Manchester, KY 40962-9157(606) 598-4530(606) 598-5104PECOS EnrollmentBased on the most recent information from CMS, provider Memorial Hospital, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:36 AM.Profile DetailsProvider ID1598166092Provider TypeOrganizationFull NameMemorial Hospital, Inc.Other NameLifeway Medical CareSubpartNoEnumeration Date9/16/2014Last Updated1/13/2021Contact InformationPractice LocationPractice Address515 Memorial Dr, Manchester, KY 40962-9157Phone(606) 598-4530Fax(606) 599-2530Mailing LocationMailing Address509 Memorial Dr, Suite 2, Manchester, KY 40962-6195Phone(606) 598-5104Fax(606) 598-0983Authorized OfficialNameFarmer, Connie (Billing Manager)Phone(606) 598-5104Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID31001134DescriptionMedicaidIssuerUnlistedKentucky