# BELLEFONTE PHYSICIAN SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bellefonte Primary Care, Ironton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700279064
- **Authorized official:** TROY CONNETT (DIRECTOR OF FINANCE)
- **Authorized official phone:** (606) 833-3333

## Contact information

- **Practice address:** 1041 IRONTON HILLS DR, IRONTON, OH 45638-9700
- **Practice address phone:** (740) 442-7697
- **Mailing address:** PO BOX 2155, ASHLAND, KY 41105-2155
- **Mailing address phone:** (606) 833-4922
- **Mailing address fax:** (606) 833-4668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/11/2015
- **Last updated:** 10/21/2019