# ST ELIZABETH MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013957067
- **Authorized official:** MR. JOSEPH L RUARK CPA (AVP PATIENT FINANCIAL SERVICES)
- **Authorized official phone:** (859) 292-4245

## Contact information

- **Practice address:** 401 E 20TH STREET, COVINGTON, KY 41014
- **Practice address phone:** (859) 292-4100
- **Practice address fax:** (859) 292-4106
- **Mailing address:** 401 E 20TH STREET, COVINGTON, KY 41014
- **Mailing address phone:** (859) 292-4100
- **Mailing address fax:** (859) 292-4106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100716 | KY | Yes |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 05/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12503223 | — | KY |
