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Organization

ST ELIZABETH MEDICAL CENTER INC

Active
Other names
St Elizabeth Business Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
TINA LEGRIS (DIRECTOR OF BUSINESS HEALTH)
(859) 301-5599
Entity
Organization

Contact information

Practice address
4123 OLYMPIC BLVD., SUITE 150, ERLANGER, KY 41018
(859) 301-5544
(859) 578-5975
Mailing address
PO BOX 6388808, CINCINNATI, OH 45264-8880
(859) 301-5544
(859) 578-5975

Taxonomy

Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G2000000497265
ANTHEM
KY
Enumeration date
07/03/2008
Last updated
09/24/2018
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