Organization
BELLEFONTE PHYSICIAN SERVICES, INC
Active
Other names
Ironton Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
TROY CONNETT (DIRECTOR OF FINANCE)
(606) 833-3333
Entity
Organization
Contact information
Practice address
1005 E RING RD, IRONTON, OH 45638-9610
(740) 533-3980
Mailing address
PO BOX 2155, ASHLAND, KY 41105-2155
(606) 833-4680
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
PA680
KY
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000594107
ANTHEM BCBS
KY
05
—
2880986
—
OH
05
—
7100061730
—
KY
05
—
7100072940
—
KY
01
—
DO3581
RR MEDICARE
OH
Enumeration date
10/21/2008
Last updated
11/12/2018
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