Organization
ST ELIZABETH MEDICAL CENTER, INC
Active
Other names
St Elizabeth GER Psych
Organization subpart
No
Provider details
NPI number
Authorized official
LORI RITCHEY-BALDWIN (CFO (INTERIM))
(859) 655-0109
Entity
Organization
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017
(859) 301-5900
(859) 655-1773
Mailing address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 655-1889
(859) 578-5980
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
100500
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92000074
—
KY
Enumeration date
06/07/2006
Last updated
10/23/2014
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