NPIMap

Organization Active NPI

St Elizabeth Medical Center, Inc

Doing business as St Elizabeth Grant

  • Critical Access Hospital
  • Williamstown, KY
National Provider Identifier
1114974813
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
600062 Issued in KY
Legal business name
ST ELIZABETH MEDICAL CENTER, INC
Doing business as
St Elizabeth Grant
Practice address
238 Barnes Rd
Williamstown, KY 41097-9482
Phone
(859) 824-8240
Fax
(859) 655-1773
NPI assigned
May 28, 2006
Last updated
Nov 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Lori Ritchey-Baldwin
Title
Cfo (Interim)
Phone
(859) 655-0109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 600062 KY Primary

Addresses

Primary practice location

238 Barnes Rd
Williamstown, KY 41097-9482

Mailing address

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 655-1889

Other identifiers 4

IdentifierTypeStateIssuer
1801311MedicaidNC
1114974813MedicaidCA
01022060MedicaidKY
7100155130MedicaidKY

Other names 1

  • St Elizabeth Grant Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071201000006 KY Part A Provider - Critical Access Hospital 0648174623 Practice locations: Williamstown, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114974813. Details of each certification follow.

Hospital certification: CCN 181311

Legal name
ST ELIZABETH MEDICAL CENTER, INC
Doing business as
ST ELIZABETH HEALTHCARE GRANT
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jun 1, 2001
Last certification
Mar 18, 2005
Beds
15
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Apr 3, 1978 in KY
Enrollment address
238 Barnes Rd
Williamstown, KY 41097-9482
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

Care Compare: Hospital

Medicare Care Compare
Listed as
St Elizabeth GrantCCN 181311 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
St Elizabeth Grant Coun26 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

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Donald L Price Individual Corporate Director Jan 1, 2024
Robert D Moorhead Individual Corporate DirectorBoard Member Jan 1, 2021
Jason Jackman Individual Corporate DirectorBoard Member Jan 1, 2019
Jackie S Sweeney Individual Corporate DirectorBoard Member Jan 1, 2019
Sylvia Buxton Individual Corporate DirectorBoard Member Jan 1, 2024
Joseph Koester Individual Corporate DirectorBoard Member Jan 1, 2020
Lori a Ritchey-Baldwin Individual Corporate OfficerCorporate Treasurer - Cfo Jan 1, 2014
W-2 Managing EmployeeCorporate Treasurer - Cfo Jan 1, 2014
John Hawkins Individual Corporate DirectorBoard Member Jan 1, 2023
Robert Stevens Individual Corporate DirectorBoard Member Jan 1, 2022
Kristi Nelson Individual Corporate DirectorBoard Member Jan 1, 2022
Andrew Schaeffer Individual Corporate DirectorBoard Member Jan 1, 2019
Jeanne Schroer Individual Corporate DirectorBoard Member Jan 1, 2023
Debbie Simpson Individual Corporate DirectorBoard Member Jan 1, 2026
Kris Knochelmann Individual Corporate DirectorBoard Member Jan 1, 2021
Garren Colvin Individual Corporate OfficerPresident and Ceo Nov 16, 2007
Corporate DirectorPresident and Ceo Feb 13, 2015
W-2 Managing EmployeePresident and Ceo Nov 16, 2007
Marsha a Ladenburger Individual Corporate DirectorBoard Member Jan 1, 2021
Derek Haught Individual Corporate DirectorBoard Member Jan 1, 2025
Lisa Frey Individual Corporate OfficerCorporate Secretary Jan 1, 2019
Vera Hall Individual Corporate OfficerVice President Jan 1, 2024
W-2 Managing EmployeeVice President Jan 1, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Elizabeth Dearborn HospitalLawrenceburg, IN, CCN 150086 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2020
St. Elizabeth Ft. Thomas - SNFFort Thomas, KY, CCN 185328 Skilled nursing facility Adp of the SNF Dec 31, 2024
St Elizabeth HealthcareEdgewood, KY, CCN 185394 Skilled nursing facility Adp of the SNF Jan 16, 2019
St. Elizabeth Home CareFlorence, KY, CCN 187075 Home health agency 5% Or Greater Direct Ownership Interest (50%) Dec 3, 2007
St Elizabeth Home Care ServicesLawrenceburg, IN, CCN 157055 Home health agency 5% Or Greater Direct Ownership Interest (50%) Oct 9, 2020

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 350

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 350

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1114974813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL VILLAGE DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173403",
            "telephone_number": "859-655-1889",
            "fax_number": "859-578-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 BARNES RD",
            "city": "WILLIAMSTOWN",
            "state": "KY",
            "postal_code": "410979482",
            "telephone_number": "859-824-8240",
            "fax_number": "859-655-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ELIZABETH MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "RITCHEY-BALDWIN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CFO (INTERIM)",
        "authorized_official_telephone_number": "859-655-0109"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KY",
            "license": "600062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801311",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114974813",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01022060",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100155130",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Elizabeth Grant",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Elizabeth Grant",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamstown, KY

Sources for this page

Verify at the official NPI Registry.