Organization
ST ELIZABETH MEDICAL CENTER, INC
Active
Other names
St Elizabeth Ft. Thomas
Organization subpart
No
Provider details
NPI number
Authorized official
LORI RITCHEY-BALDWIN (CFO (INTERIM))
(859) 655-0109
Entity
Organization
Contact information
Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075
(859) 572-3100
(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
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
KY
282N00000X
General Acute Care Hospital
Primary
100059
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00372281X
—
GA
05
—
01010958
—
KY
05
—
01333707
—
MO
05
—
013393707
—
MO
05
—
0180001
—
TN
05
—
02534114
—
NY
05
—
0589184
—
IA
05
—
097491900
—
FL
05
—
100276160A
—
IN
05
—
121007
—
AL
05
—
1740221795
—
CA
05
—
1740221795
—
MI
05
—
1740221795
—
NV
05
—
1740221795
—
VA
05
—
1800001
—
NC
05
—
183235200
—
MD
05
—
184510001
—
ME
05
—
200005300C
—
KS
05
—
2973804
—
OH
05
—
304727771
—
MI
05
—
404727780
—
MI
05
—
4111508
—
NJ
05
—
431633600
—
ME
05
—
52177254
—
CO
05
—
610486447001
—
IL
05
—
7100116580
—
KY
05
—
858433
—
AZ
05
—
STL0001N
—
AL
05
—
XHSP32939
—
CA
05
—
XHSP42939
—
CA
Enumeration date
06/09/2006
Last updated
01/16/2023
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