# OUR LADY OF BELLEFONTE HOSPITAL, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Bellefonte Wound Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457545543
- **Authorized official:** TROY CONNETT (DIRECTOR OF FINANCE)
- **Authorized official phone:** (606) 833-3333

## Contact information

- **Practice address:** 1000 ASHLAND DR, STE G1, ASHLAND, KY 41101-7084
- **Practice address phone:** (606) 833-4043
- **Mailing address:** PO BOX 2155, ASHLAND, KY 41105-2155
- **Mailing address phone:** (606) 833-4043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/31/2007
- **Last updated:** 05/20/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000551175 | ANTHEM BCBS | KY |
| 05 | — | 2843114 | — | OH |
| 05 | — | 7100023550 | — | KY |