NPIMap

Organization Active NPI

St Elizabeth Medical Center Inc

Doing business as St Elizabeth Business Health Center

  • Occupational Medicine Clinic/Center
  • Erlanger, KY
National Provider Identifier
1063675759
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
ST ELIZABETH MEDICAL CENTER INC
Doing business as
St Elizabeth Business Health Center
Practice address
4123 Olympic Blvd.
Suite 150
Erlanger, KY 41018
Phone
(859) 301-5544
Fax
(859) 578-5975
NPI assigned
Jul 3, 2008
Last updated
Sep 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Authorized official

Name
Tina Legris
Title
Director of Business Health
Phone
(859) 301-5599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X KY Primary

Addresses

Primary practice location

4123 Olympic Blvd.
Suite 150
Erlanger, KY 41018

Mailing address

PO Box 6388808
Cincinnati, OH 45264-8880
Phone (859) 301-5544

Other identifiers 1

IdentifierTypeStateIssuer
G2000000497265OtherKYANTHEM

Other names 1

  • St Elizabeth Business Health Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0921424Saint Elizabeth Business Health Center4123 Olympic Blvd Suite 150, Erlanger, KY 41018Certificate of waiverOct 27, 2026

National Provider Directory

National Provider Directory
Tax ID family
St Elizabeth Hosp26 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": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1063675759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6388808",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452648880",
            "telephone_number": "859-301-5544",
            "fax_number": "859-578-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 OLYMPIC BLVD.",
            "address_2": "SUITE 150",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "41018",
            "telephone_number": "859-301-5544",
            "fax_number": "859-578-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ELIZABETH MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "LEGRIS",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS HEALTH",
        "authorized_official_telephone_number": "859-301-5599"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "G2000000497265",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Elizabeth Business Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Elizabeth Business Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erlanger, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.