St Elizabeth Medical Center, Inc

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

100500 Issued in KY

Legal business name

ST ELIZABETH MEDICAL CENTER, INC

Practice address

1 Medical Village Dr
Edgewood, KY 41017

Phone

(859) 301-5900

Fax

(859) 655-1773

NPI assigned

Jun 7, 2006

Last updated

Oct 23, 2014By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• St Elizabeth GER Psych Other name

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1740220797",
    "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": "1 MEDICAL VILLAGE DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "41017",
            "telephone_number": "859-301-5900",
            "fax_number": "859-655-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ELIZABETH MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2014-10-23",
        "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": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "KY",
            "license": "100500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92000074",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Elizabeth GER Psych",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• St. Elizabeth Medical Center, Inc.

• Psychiatric Hospital Unit in Edgewood, KY
• Providers in Edgewood, KY by specialty
• Psychiatric Hospital Unit in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.