Organization
ST ELIZABETH MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH L RUARK CPA (AVP PATIENT FINANCIAL SERVICES)
(859) 292-4245
Entity
Organization
Contact information
Practice address
401 E 20TH STREET, COVINGTON, KY 41014
(859) 292-4100
(859) 292-4106
Mailing address
401 E 20TH STREET, COVINGTON, KY 41014
(859) 292-4100
(859) 292-4106
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100716
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12503223
—
KY
Enumeration date
06/07/2006
Last updated
05/14/2008
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