Organization
BELLEFONTE PHYSICIAN SERVICES, INC
Active
Other names
Bellefonte Heart Care
Organization subpart
No
Provider details
NPI number
Authorized official
TROY CONNETT (DIRECTOR OF FINANCE)
(606) 833-3333
Entity
Organization
Contact information
Practice address
1180 SAINT CHRISTOPHER DR, STE2, ASHLAND, KY 41101-7055
(606) 833-0144
(606) 833-0113
Mailing address
PO BOX 2155, ASHLAND, KY 41105-2155
(606) 833-4680
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000598306
ANTHEM BCBS
KY
05
—
2927337
—
OH
05
—
7100065810
—
KY
05
—
7100066000
—
KY
01
—
9208310
AETNA
KY
01
—
DN8303
RR MEDICARE
KY
Enumeration date
10/21/2008
Last updated
05/17/2019
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