Organization
OUR LADY OF BELLEFONTE HOSPITAL INC
Active
Parent organization
OUR LADY OF BELLEFONTE HOSPITAL
Other names
Our Lady of Bellefonte Hospital Durable Medical Equipment
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUR LADY OF BELLEFONTE HOSPITAL
Authorized official
MR. KEVIN B HALTER FACHE (CHIEF EXECUTIVE OFFICER)
(606) 833-3600
Entity
Organization
Contact information
Practice address
118 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7016
(606) 833-6241
(606) 833-3998
Mailing address
1000 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7034
(606) 833-3333
(606) 833-3998
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065104
—
OH
05
—
7100212190
—
KY
Enumeration date
01/04/2011
Last updated
06/19/2017
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