NPIMap

Organization Active NPI

St Elizabeth Medical Center, Inc

  • Clinical Medical Laboratory
  • Williamstown, KY
National Provider Identifier
1174780647
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ST ELIZABETH MEDICAL CENTER, INC
Practice address
238 Barnes Rd
Williamstown, KY 41097
Phone
(859) 824-8240
Fax
(859) 655-1773
NPI assigned
May 21, 2008
Last updated
Jun 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Authorized official

Name
Nathan Vanlaningham
Title
Cfo & Treasurer
Phone
(859) 655-1642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

238 Barnes Rd
Williamstown, KY 41097

Mailing address

401 E 20TH St
Covington, KY 41014
Phone (859) 655-1821

Other identifiers 2

IdentifierTypeStateIssuer
0512774OtherAETNA
000000063670OtherKYANTHEM REF LAB

Other names 1

  • St Elizabeth Grant Reference Laboratory Other name

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
18D0324626St Elizabeth Grant Lab238 Barnes Road, Williamstown, KY 41097AccreditationNov 30, 2027
18D1065709St Elizabeth Healthcare Grant Nursing238 Barnes Road, Williamstown, KY 41097Certificate of waiverMar 6, 2027
18D1084559Kidney and Hypertension Center,the238 Barnes Road, Williamstown, KY 41097Certificate of waiverOct 20, 2027
18D2274040St Elizabeth Medication Management Clinic GRT238 Barnes Rd, Williamstown, KY 41097Certificate of waiverDec 21, 2026

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

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1174780647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 20TH ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "41014",
            "telephone_number": "859-655-1821",
            "fax_number": "859-655-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 BARNES RD",
            "city": "WILLIAMSTOWN",
            "state": "KY",
            "postal_code": "41097",
            "telephone_number": "859-824-8240",
            "fax_number": "859-655-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ELIZABETH MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "VANLANINGHAM",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "CFO & TREASURER",
        "authorized_official_telephone_number": "859-655-1642"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0512774",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM REF LAB",
            "identifier": "000000063670",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Elizabeth Grant Reference Laboratory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Williamstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.