Organization
OUR LADY OF BELLEFONTE HOSPITAL INC.
Active
Other names
Pediatric Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ASIC (COO)
(513) 215-0203
Entity
Organization
Contact information
Practice address
1100 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7055
(606) 833-6713
Mailing address
1100 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7055
(606) 833-6713
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
10/09/2013
Last updated
07/29/2019
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