Organization
BELLEFONTE PHYSICIAN SERVICES, INC.
Active
Other names
Ashland Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
TROY CONNETT (DIRECTOR OF FINANCE)
(606) 833-3333
Entity
Organization
Contact information
Practice address
2222 WINCHESTER AVE, ASHLAND, KY 41101-7847
(606) 325-9644
Mailing address
PO BOX 2155, ASHLAND, KY 41105-2155
(606) 833-4922
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000578807
ANTHEM BCBS
KY
05
—
7100049600
—
KY
05
—
7100442070
—
KY
Enumeration date
11/24/2008
Last updated
05/17/2019
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