Organization
BELLEFONTE PHYSICIAN SERVICES, INC.
Active
Other names
Bellefonte Primary Care, Cannonsburg
Organization subpart
No
Provider details
NPI number
Authorized official
TROY CONNETT (DIRECTOR OF FINANCE)
(606) 833-3333
Entity
Organization
Contact information
Practice address
12470 US ROUTE 60, ASHLAND, KY 41102-9687
(606) 928-1881
Mailing address
PO BOX 2155, ASHLAND, KY 41105-2155
(606) 928-1881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000606884
ANTHEM BCBS
KY
05
—
7100074170
—
KY
01
—
7337061
AETNA
KY
Enumeration date
01/02/2009
Last updated
11/12/2018
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