# OUR LADY OF BELLEFONTE HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Women's Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730349044
- **Authorized official:** TROY CONNETT (DIRECTOR OF FINANCE)
- **Authorized official phone:** (606) 833-3333

## Contact information

- **Practice address:** 1000 ASHLAND DR, STE G2, ASHLAND, KY 41101-7084
- **Practice address phone:** (606) 836-7465
- **Mailing address:** PO BOX 2155, ASHLAND, KY 41105-2155
- **Mailing address phone:** (606) 833-3333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | 2311P | KY | — |

## Other

- **Enumeration date:** 06/10/2008
- **Last updated:** 11/13/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000568654 | ANTHEM BCBS | KY |
| 05 | — | 2851258 | — | OH |
| 05 | — | 7100048820 | — | KY |
| 01 | — | CB3982 | RR MEDICARE | KY |