NPIMap

Organization Active NPI

St. Elizabeth Medical Center

  • Nursing Care Agency
  • Covington, KY
National Provider Identifier
1003935859
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
720201 Issued in KY
Legal business name
ST. ELIZABETH MEDICAL CENTER
Practice address
401 E 20TH St
Covington, KY 41014-1583
Phone
(859) 292-4100
Fax
(859) 292-4106
NPI assigned
Mar 29, 2007
Last updated
Sep 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Joseph L Ruark, C.P.A.
Title
Avp, Patient Financial Services
Phone
(859) 292-4245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 720201 KY Primary

Addresses

Primary practice location

401 E 20TH St
Covington, KY 41014-1583

Mailing address

401 E 20TH St
Covington, KY 41014-1583
Phone (859) 292-4100

Other identifiers 1

IdentifierTypeStateIssuer
42004598MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
St Elizabeth Med Ctr26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1003935859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 20TH ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410141583",
            "telephone_number": "859-292-4100",
            "fax_number": "859-292-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 20TH ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410141583",
            "telephone_number": "859-292-4100",
            "fax_number": "859-292-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ELIZABETH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "RUARK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AVP, PATIENT FINANCIAL SERVICES",
        "authorized_official_telephone_number": "859-292-4245",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.A."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "KY",
            "license": "720201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42004598",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.