| St. Elizabeth Medical Center, Inc. | |
|
413 S Loop Rd Edgewood KY 41017-5446 | |
| (859) 301-3800 | |
| (859) 301-3987 |
| Full Name | St. Elizabeth Medical Center, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 413 S Loop Rd, Edgewood, Kentucky |
| Authorized Official Name and Position | Timothy Gramann (DIRECTOR FAMILY PRACTICE CENTER ADM) |
| Authorized Official Contact | 8593013800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Elizabeth Medical Center, Inc. 413 S Loop Rd Edgewood KY 41017-5446 Ph: (859) 301-3800 | St. Elizabeth Medical Center, Inc. 413 S Loop Rd Edgewood KY 41017-5446 Ph: (859) 301-3800 |
| NPI Number | 1710001185 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 09/30/2025 |
| Certification Date | 09/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710001185 | NPI | - | NPPES |
| 65901688 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (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: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-5900 Fax: 859-655-1773 | |
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 |