Organization
OUR LADY OF BELLEFONTE HOSPITAL
Active
Other names
Women's 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 G2, ASHLAND, KY 41101-7084
(606) 836-7465
Mailing address
PO BOX 2155, ASHLAND, KY 41105-2155
(606) 833-3333
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
2311P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000568654
ANTHEM BCBS
KY
05
—
2851258
—
OH
05
—
7100048820
—
KY
01
—
CB3982
RR MEDICARE
KY
Enumeration date
06/10/2008
Last updated
11/13/2018
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