Organization
BELLEFONTE PHYSICIAN SERVICES, INC.
Active
Other names
Bellefonte Primary Care, Grayson
Organization subpart
No
Provider details
NPI number
Authorized official
TROY CONNETT (DIRECTOR OF FINANCE)
(606) 833-3333
Entity
Organization
Contact information
Practice address
100 BELLEFONTE DR, GRAYSON, KY 41143-1820
(606) 474-0669
Mailing address
PO BOX 2155, ASHLAND, KY 41105-2155
(877) 214-4267
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000609053
ANTHEM BCBS
KY
05
—
2933295
—
OH
01
—
7071800
AETNA
KY
05
—
7100068100
—
KY
01
—
DN8303
RR MEDICARE
KY
Enumeration date
01/02/2009
Last updated
05/20/2019
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