Organization
ST ELIZABETH MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI RITCHEY-BALDWIN (CFO)
(859) 655-1642
Entity
Organization
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2000
(859) 578-5980
Mailing address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 655-1889
(859) 578-5980
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
100272
KY
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
720405
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000105872A
—
GA
05
—
0013019850004
—
PA
05
—
01013671
—
KY
05
—
016256604
—
MO
05
—
0170126000
—
WV
05
—
0180035
—
TN
05
—
03080706
—
NY
05
—
100034230A
—
IN
05
—
100383870B
—
KS
05
—
104683
—
SC
01
—
1061646
PASSPORT
—
05
—
108804902
—
TX
05
—
120498
—
AL
05
—
146655105
—
AR
05
—
1467492421
—
CA
05
—
1467492421
—
IA
05
—
1467492421
—
ID
05
—
1467492421
—
ME
05
—
1467492421
—
MI
05
—
1800035
—
NC
05
—
200088280A
—
OK
05
—
2153099
—
LA
05
—
3016169
—
WA
05
—
4112105
—
NJ
05
—
500602914
—
OR
05
—
614044585000
—
NE
05
—
7645114
—
OH
05
—
769937
—
AZ
05
—
81219200
—
WI
05
—
900049600
—
FL
05
—
9813268
—
VA
Enumeration date
06/07/2006
Last updated
08/17/2023
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