Active NPI
St Elizabeth Medical Center Inc
- Skilled Nursing Facility
- Covington, KY
National Provider Identifier
1013957067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 100716
- Legal business name
- ST ELIZABETH MEDICAL CENTER INC
- Practice address
- 401 E 20TH Street
Covington, KY 41014 - Phone
- (859) 292-4100
- Fax
- (859) 292-4106
- NPI assigned
- Jun 7, 2006
- Last updated
- May 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph L Ruark, CPA
- Title
- Avp Patient Financial Services
- Phone
- (859) 292-4245
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 100716 | KY | Primary |
Addresses
Primary practice location
401 E 20TH Street
Covington, KY 41014
Mailing address
401 E 20TH Street
Covington, KY 41014
Phone (859) 292-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12503223 | Medicaid | KY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210723200000",
"number": "1013957067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E 20TH STREET",
"city": "COVINGTON",
"state": "KY",
"postal_code": "41014",
"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 STREET",
"city": "COVINGTON",
"state": "KY",
"postal_code": "41014",
"telephone_number": "859-292-4100",
"fax_number": "859-292-4106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST ELIZABETH MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2008-05-14",
"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": "CPA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KY",
"license": "100716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12503223",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, KY
- Jessica Spreder, CPSS
- Bonnie Spurlock, LPN
- St Charles Care Center Inc
- St Elizabeth Medical Center
- St Elizabeth Medical Center
- St Elizabeth Medical Center Inc (St Elizabeth Home Health)
- St Elizabeth Medical Center Inc
- St Elizabeth Medical Center Skilled Facility
- St. Charles Care Center, Inc. (St. Charles Adult Day Health Program)
- St. Elizabeth Healthcare
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.