Organization
OUR LADY OF BELLEFONTE HOSPITAL INC
Active
Parent organization
OUR LADY OF BELLEFONTE HOSPITAL INC
Other names
Bellefonte Home Health Care Agency
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUR LADY OF BELLEFONTE HOSPITAL INC
Authorized official
LAURA BUCZKOWSKI (CFO)
(804) 627-5573
Entity
Organization
Contact information
Practice address
700 SAINT CHRISTOPHER DR, MEDICAL BUILDING III, SUITE 105, ASHLAND, KY 41101-7062
(606) 833-3545
(606) 833-3546
Mailing address
700 SAINT CHRISTOPHER DR, MEDICAL BUILDING III, SUITE 105, ASHLAND, KY 41101-7062
(606) 833-3545
(606) 833-3546
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
150098
KY
251S00000X
Community/Behavioral Health Agency
150098
KY
261QR0400X
Rehabilitation Clinic/Center
150098
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
ANTHEM REHAB
KY
01
—
000000054555
ANTHEM
KY
05
—
0586843
—
OH
05
—
34000026
—
KY
05
—
42000000
—
KY
05
—
450000155
—
KY
Enumeration date
06/09/2006
Last updated
05/20/2019
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