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Organization
ST ELIZABETH MEDICAL CENTER, INC
Active
Organization
ST ELIZABETH MEDICAL CENTER, INC
Active
Other names
St Elizabeth Dearborn
Organization subpart
No
Provider details
NPI number
Authorized official
LORI RITCHEY-BALDWIN (CFO)
(859) 655-1642
Entity
Organization
Contact information
Practice address
600 WILSON CREEK RD, LAWRENCEBURG, IN 47025-2751
(812) 537-1010
Mailing address
600 WILSON CREEK RD, LAWRENCEBURG, IN 47025-2751
(812) 537-1010
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
282N00000X
General Acute Care Hospital
Primary
060050771
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000002936
ANTHEM UB BILLING
—
01
—
000000076353
ANTHEM PROFEE BILLING
—
01
—
000000329743
ANTHEM REF LAB BILLING
—
05
—
100268530A
—
IN
05
—
200017350A
—
IN
05
—
2061094
—
OH
01
—
35600659500
OHIO WORKERS COMP UB
—
01
—
35600659501
OHIO WORKERS COMP 1500
—
Enumeration date
09/11/2006
Last updated
01/31/2023
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