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Organization
OUR LADY OF BELLEFONTE HOSPITAL, INC.
Active
Organization
OUR LADY OF BELLEFONTE HOSPITAL, INC.
Active
Other names
Bellefonte Wound Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
TROY CONNETT (DIRECTOR OF FINANCE)
(606) 833-3333
Entity
Organization
Contact information
Practice address
1000 ASHLAND DR, STE G1, ASHLAND, KY 41101-7084
(606) 833-4043
Mailing address
PO BOX 2155, ASHLAND, KY 41105-2155
(606) 833-4043
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000551175
ANTHEM BCBS
KY
05
—
2843114
—
OH
05
—
7100023550
—
KY
Enumeration date
08/31/2007
Last updated
05/20/2019
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