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Organization
BELLEFONTE PHYSICIAN SERVICES, INC.
Active
Organization
BELLEFONTE PHYSICIAN SERVICES, INC.
Active
Other names
Bellefonte Primary Care, Cannonsburg
Organization subpart
No
Provider details
NPI number
Authorized official
TROY CONNETT (DIRECTOR OF FINANCE)
(606) 833-3333
Entity
Organization
Contact information
Practice address
12470 US ROUTE 60, ASHLAND, KY 41102-9687
(606) 928-1881
Mailing address
PO BOX 2155, ASHLAND, KY 41105-2155
(606) 928-1881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000606884
ANTHEM BCBS
KY
05
—
7100074170
—
KY
01
—
7337061
AETNA
KY
Enumeration date
01/02/2009
Last updated
11/12/2018
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