NPIMap

Organization Active NPI

St Elizabeth Medical Center Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Covington, KY
National Provider Identifier
1417017013
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
300074 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
Dec 12, 2006
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Mr. Joseph L Ruark
Title
Avp Patient Financial Services
Phone
(859) 292-4245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 300074 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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1417017013",
    "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": "2006-12-12",
        "last_updated": "2008-07-24",
        "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."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "KY",
            "license": "300074",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 24, 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.