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Contact Information

ST ELIZABETH MEDICAL CENTER, INC
1 MEDICAL VILLAGE DR
EDGEWOOD, KY41017-3403
 Phone: 859-301-2000
 Fax: 859-578-5980
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Acute Care Hospital

282N00000X A0[7] Hospital-General
 

Portable Xray Supplier

335V00000X 63 Portable X-Ray Supplier
Indicates primary specialty

NPI Profile & details for ST ELIZABETH MEDICAL CENTER, INC

NPI # 1467492421
LBN Legal business name ST ELIZABETH MEDICAL CENTER, INC
Authorized official LORI RITCHEY-BALDWIN - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/07/2006
Last updated 08/17/2023 - About 3 years ago
Identifiers
KY License # 100272
KY License # 720405
AL Medicaid 120498
AR Medicaid 146655105
AZ Medicaid 769937
CA Medicaid 1467492421
FL Medicaid 900049600
GA Medicaid 000105872A
IA Medicaid 1467492421
ID Medicaid 1467492421
IN Medicaid 100034230A
KS Medicaid 100383870B
KY Medicaid 01013671
LA Medicaid 2153099
ME Medicaid 1467492421
MI Medicaid 1467492421
MO Medicaid 016256604
NC Medicaid 1800035
NE Medicaid 614044585000
NJ Medicaid 4112105
NY Medicaid 03080706
OH Medicaid 7645114
OK Medicaid 200088280A
OR Medicaid 500602914
PA Medicaid 0013019850004
SC Medicaid 104683
TN Medicaid 0180035
TX Medicaid 108804902
VA Medicaid 9813268
WA Medicaid 3016169
WI Medicaid 81219200
WV Medicaid 0170126000
Other 1061646 PASSPORT
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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