Organization Active NPI

St Elizabeth Medical Center Inc

  • Skilled Nursing Facility
  • Covington, KY
National Provider Identifier
1013957067
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100716 Issued in KY
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
12503223MedicaidKY

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.