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Organization
OUR LADY OF BELLEFONTE HOSPITAL
Active
Organization
OUR LADY OF BELLEFONTE HOSPITAL
Active
Other names
Women's 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 G2, ASHLAND, KY 41101-7084
(606) 836-7465
Mailing address
PO BOX 2155, ASHLAND, KY 41105-2155
(606) 833-3333
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
2311P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000568654
ANTHEM BCBS
KY
05
—
2851258
—
OH
05
—
7100048820
—
KY
01
—
CB3982
RR MEDICARE
KY
Enumeration date
06/10/2008
Last updated
11/13/2018
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