Bellefonte Physician Services, Inc.
Organization Active NPI Pediatrics Physician · Ashland, KY
NPI 1326224353 · NPPES record last updated May 20, 2019
Key facts
- NPI
- 1326224353
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- BELLEFONTE PHYSICIAN SERVICES, INC.
- Practice address
- 1000 Ashland Dr Ste 102
Ashland, KY 41101 - Phone
- (606) 836-0919
- Fax
- (606) 836-2847
- NPI assigned
- Jan 22, 2008
- Organization subpart
- No
Authorized official
- Name
- Troy Connett
- Title
- Director of Finance
- Phone
- (606) 833-3700
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes | ||
| Physician Assistant |
363A00000X |
Addresses
Primary practice location
1000 Ashland Dr Ste 102
Ashland, KY 41101
Mailing address
PO Box 2155
Ashland, KY 41105-2155
Phone (606) 833-4922
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2877892 | Medicaid | OH | |
| 000000550494 | Other | KY | ANTHEM BCBS |
| 7100028510 | Medicaid | KY | |
| 7100158620 | Medicaid | KY |
Other names
- Tri-State Pediatrics
Other providers in Ashland, KY
- Bellefonte Physician Services, Inc.
- Bellefonte Physician Services, Inc.
- Bellefonte Physician Services, Inc.
- Bellefonte Physician Services, Inc.
- Bellefonte Physician Services, Inc.
- Bellefonte Physician Services, Inc.
- Bellefonte Physician Services, Inc.
- Bellefonte Physician Services, Inc.
- Bellefonte Physician Services, Inc.
- Bellefonte Physician Services, Inc.
All providers in Ashland, KY · Pediatrics Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.