Organization
OUR LADY OF BELLEFONTE HOSPITAL, INC.
Active
Other names
Bellefonte Wound Care 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 G1, ASHLAND, KY 41101-7084
(606) 833-4043
Mailing address
PO BOX 2155, ASHLAND, KY 41105-2155
(606) 833-4043
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000551175
ANTHEM BCBS
KY
05
—
2843114
—
OH
05
—
7100023550
—
KY
Enumeration date
08/31/2007
Last updated
05/20/2019
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