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Contact Information

ST. ELIZABETH MEDICAL CENTER, INC.
850 THOMAS MORE PARKWAY
EDGEWOOD, KY41017
 Phone: 859-301-4525
 Fax: 859-301-4935
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ST. ELIZABETH MEDICAL CENTER, INC.

NPI # 1750954160
LBN Legal business name ST. ELIZABETH MEDICAL CENTER, INC.
Authorized official GARY BLANK - (EXECUTIVE VICE PRESIDENT AND CHIEF)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/22/2021
Last updated 07/22/2021 - About 5 years ago
Identifiers
KY Medicaid 7100642570
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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