Organization
BELLEFONTE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESUS PRESTO QUERUBIN JR. MD (OWNER)
(606) 473-1501
Entity
Organization
Contact information
Practice address
401 US ROUTE 23, GREENUP, KY 41144-1074
(606) 473-1501
(606) 473-1503
Mailing address
PO BOX 828, GREENUP, KY 41144-1074
(606) 473-1501
(606) 473-1503
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000235494
ANTHEM BCBS
—
05
—
65939936
—
KY
01
—
DA4715
RR MEDICARE
—
Enumeration date
12/09/2005
Last updated
11/23/2009
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