Organization
ST. ELIZABETH MEDICAL CENTER, INC.
Active
Parent organization
ST. ELIZABETH MEDICAL CENTER, INC.
Other names
St. Elizabeth Center for Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. ELIZABETH MEDICAL CENTER, INC.
Authorized official
TIMOTHY GRAMANN (DIRECTOR FAMILY PRACTICE CENTER ADM)
(859) 301-3800
Entity
Organization
Contact information
Practice address
413 S LOOP RD, EDGEWOOD, KY 41017-5446
(859) 301-3800
(859) 301-3987
Mailing address
413 S LOOP RD, EDGEWOOD, KY 41017-5446
(859) 301-3800
(859) 301-3987
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65901688
—
KY
Enumeration date
03/19/2007
Last updated
09/30/2025
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