St Elizabeth Medical Center, Inc
Organization Active NPI Community/Retail Pharmacy · Florence, KY
NPI 1104699453 · NPPES record last updated Mar 12, 2024
Key facts
- NPI
- 1104699453
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- ST ELIZABETH MEDICAL CENTER, INC
- Practice address
- 7370 Turfway Rd Ste 150
Florence, KY 41042-3800 - Phone
- (859) 212-4450
- Fax
- (859) 212-4160
- NPI assigned
- Oct 30, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- ST ELIZABETH MEDICAL CENTER, INC
Authorized official
- Name
- Lori Ritchey-Baldwin
- Title
- Executive VP Finance/Cfo
- Phone
- (859) 655-1642
Owned or controlled facilities with NPI records 5
Other NPIs with the same Medicare PAC ID 14
Corporate family (same tax ID) 25
Practitioners 337
-
Olusola Adekoya, DO
-
Kathleen Amorini, CNP
-
Lillian Louise Argent, APRN
-
Monica Lynn Ashcraft, APRN
-
Mary Ann Barnes, MD
-
Tiffani Sandra Bartolac, APRN
-
Heather L. Bates, APRN
-
Douglas Wayne Becker, N.P.
-
Manish S. Bhandari, M.D.
-
Karissa Sheree Bird, APRN
-
Jayne Bodenbach, APRN
-
Danielle Brauning, APRN
-
Regina Mary Brooks-Hall, APRN
-
Sarah Brown, APRN
-
Mario Castillo-Sang, M.D.
-
Minsig Choi, MD
-
Ashley Coleman, APRN
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| St Elizabeth Medical Center, Inc |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| St. Elizabeth Dearborn Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2020 |
| St. Elizabeth Ft. Thomas - SNF |
Skilled nursing facility | Adp of the SNF | Dec 31, 2024 |
| St Elizabeth Healthcare |
Skilled nursing facility | Adp of the SNF | Jan 16, 2019 |
| St. Elizabeth Home Care |
Home health agency | 5% Or Greater Direct Ownership Interest (50%) | Dec 3, 2007 |
| St Elizabeth Home Care Services |
Home health agency | 5% Or Greater Direct Ownership Interest (50%) | Oct 9, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240903004141 | KY | Part B Supplier - Mass Immunization (Roster Biller Only) | 0648174623 | Practice locations: Florence, KY |
| O20241028000010 | KY | DME Supplier - Pharmacy | 0648174623 | Practice locations: Florence, KY |
National Provider Directory
- Tax ID family
- Charles Stephens MD
- Part of
- Charles Stephens MD
Locations (25 of 29)
476 W US Highway 50
Unit A
Versailles, IN 47042
Phone (812) 689-1771
7200 Alexandria Pike
Ste 2
Alexandria, KY 41001
Phone (859) 572-3700
103 Landmark Dr
Bellevue, KY 41073
5874 Veterans Way
Burlington, KY 41005
Phone (859) 212-4200
1500 James Simpson Jr Way
Ste 109
Covington, KY 41011
Phone (859) 655-4268
1500 James Simpson Jr Way
Ste 100
Covington, KY 41011
Phone (859) 655-4353
741 Centre View Blvd
Bldg 34
Crestview Hills, KY 41017
Phone (859) 301-2168
651 Centre View Blvd
Ste 102
Crestview Hills, KY 41017
Phone (859) 301-4525
380 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 341-3015
741 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 301-2168
350 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (513) 569-5200
651 Centre View Blvd
Ste 201
Crestview Hills, KY 41017
Phone (859) 344-1900
2845 Chancellor Dr
Crestview Hills, KY 41017
Phone (859) 341-3412
520 Violet Rd
Ste 1
Crittenden, KY 41030
Phone (859) 212-4888
830 Thomas More Pkwy
Ste 101
Edgewood, KY 41017
Phone (859) 301-5600
20 Medical Village Dr
Ste 232
Edgewood, KY 41017
Phone (606) 341-9944
483 S Loop Rd
Edgewood, KY 41017
Phone (859) 301-4600
20 Medical Village Dr
Ste 103
Edgewood, KY 41017
Phone (859) 301-6790
20 Medical Village Dr
Ste 101
Edgewood, KY 41017
Phone (859) 301-9025
700 Dolwick Dr
Erlanger, KY 41018
Phone (859) 212-5600
512 Maple Ave
Falmouth, KY 41040
Phone (859) 212-4293
7370 Turfway Rd
Ste 170
Florence, KY 41042
Phone (859) 212-5568
10095 Investment Way
Unit B
Florence, KY 41042
Phone (859) 301-9070
4900 Houston Rd
Ste 210
Florence, KY 41042
Phone (859) 572-3850
85 N Grand Ave
Ste 100
Fort Thomas, KY 41075
Phone (859) 572-3298
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
7370 Turfway Rd Ste 150
Florence, KY 41042-3800
Mailing address
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 655-1604
Other names
- St. Elizabeth Healthcare Florence Outpatient Pharmacy
Other providers in Florence, KY
- Curtis R Spatz
- Brian Keith Spencer
- Megan Sponcil
- Elizabeth Spray
- Casey Springer
- St Elizabeth Medical Center, Inc
- St Luke Family Behavioral Health
- St Luke Hospitals, Inc
- St Luke Tristate Weightloss Center
- St. Elizabeth Home Care Services, LLC
All providers in Florence, KY · Community/Retail Pharmacy in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.