Organization
ST. ELIZABETH MEDICAL CENTER, INC.
Active
Parent organization
ST. ELIZABETH MEDICAL CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. ELIZABETH MEDICAL CENTER, INC.
Authorized official
GARY BLANK (EXECUTIVE VICE PRESIDENT AND CHIEF)
(859) 301-2370
Entity
Organization
Contact information
Practice address
850 THOMAS MORE PARKWAY, EDGEWOOD, KY 41017
(859) 301-4525
(859) 301-4935
Mailing address
850 THOMAS MORE PARKWAY, EDGEWOOD, KY 41017
(859) 301-4525
(859) 301-4935
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100642570
—
KY
Enumeration date
07/22/2021
Last updated
07/22/2021
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