NPIMap

Organization Active NPI

Our Lady of Bellefonte Hospital, Inc.

  • Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1457545543
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
OUR LADY OF BELLEFONTE HOSPITAL, INC.
Practice address
1000 Ashland Dr
Ste G1
Ashland, KY 41101-7084
Phone
(606) 833-4043
NPI assigned
Aug 31, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Troy Connett
Title
Director of Finance
Phone
(606) 833-3333

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 54

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

NPPES NPI Registry

Primary practice location

1000 Ashland Dr
Ste G1
Ashland, KY 41101-7084

Mailing address

PO Box 2155
Ashland, KY 41105-2155
Phone (606) 833-4043

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
2843114MedicaidOH
000000551175OtherKYANTHEM BCBS
7100023550MedicaidKY

Other names 1

NPPES NPI Registry
  • Bellefonte Wound Care Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2019.

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1457545543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2155",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052155",
            "telephone_number": "606-833-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASHLAND DR",
            "address_2": "STE G1",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017084",
            "telephone_number": "606-833-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF BELLEFONTE HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "CONNETT",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "606-833-3333"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2843114",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000551175",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100023550",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellefonte Wound Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bellefonte Wound Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.