| St Elizabeth Medical Center, Inc | |
|
1 Medical Village Dr Edgewood KY 41017 | |
| (859) 301-5900 | |
| (859) 655-1773 |
| Full Name | St Elizabeth Medical Center, Inc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1 Medical Village Dr, Edgewood, Kentucky |
| Authorized Official Name and Position | Lori Ritchey-baldwin (CFO (INTERIM)) |
| Authorized Official Contact | 8596550109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Elizabeth Medical Center, Inc 1 Medical Village Dr Edgewood KY 41017-3403 Ph: (859) 655-1889 | St Elizabeth Medical Center, Inc 1 Medical Village Dr Edgewood KY 41017 Ph: (859) 301-5900 |
| NPI Number | 1740220797 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 10/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740220797 | NPI | - | NPPES |
| 92000074 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 100500 (Kentucky) | Primary |
Hopebridge, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2904 Foltz Dr, Edgewood, KY 41017 Phone: 859-795-3000 | |
Vincent E Ziegler, Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Medical Village Dr, Suite 301, Edgewood, KY 41017 Phone: 859-341-5074 Fax: 859-341-5075 | |
St. Elizabeth Medical Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 S Loop Rd, Edgewood, KY 41017 Phone: 859-301-3800 Fax: 859-301-3987 | |
Mark Modlin, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Dudley Pike, Suite 120, Edgewood, KY 41017 Phone: 859-341-7170 Fax: 859-341-7173 | |
Hopebridge, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2904 Foltz Dr, Edgewood, KY 41017 Phone: 855-324-0885 Fax: 765-450-6664 | |
Bluegrass Behavioral Health Group, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 Dudley Pike, Edgewood, KY 41017 Phone: 859-360-3006 Fax: 859-360-3053 |