# OUR LADY BELLEFONTE HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bellefonte Pain Management and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306907480
- **Authorized official:** CHRIS WILDE (CFO)
- **Authorized official phone:** (606) 833-0144

## Contact information

- **Practice address:** 1150 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7055
- **Practice address phone:** (606) 833-0144
- **Practice address fax:** (606) 833-0113
- **Mailing address:** 1150 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7055
- **Mailing address phone:** (606) 833-0144
- **Mailing address fax:** (606) 833-0113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 40015 | KY | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 08/22/2020