NPIMap

Organization Active NPI

Our Lady of Bellefonte Hospital Inc

Doing business as Our Lady of Bellefonte Hospital Durable Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Ashland, KY
National Provider Identifier
1669776795
Registry record updated Jun 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OUR LADY OF BELLEFONTE HOSPITAL INC
Doing business as
Our Lady of Bellefonte Hospital Durable Medical Equipment
Practice address
118 Saint Christopher Dr
Ashland, KY 41101-7016
Phone
(606) 833-6241
Fax
(606) 833-3998
NPI assigned
Jan 4, 2011
Last updated
Jun 19, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
OUR LADY OF BELLEFONTE HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kevin B Halter, FACHE
Title
Chief Executive Officer
Phone
(606) 833-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

118 Saint Christopher Dr
Ashland, KY 41101-7016

Mailing address

1000 Saint Christopher Dr
Ashland, KY 41101-7034
Phone (606) 833-3333

Other identifiers 2

IdentifierTypeStateIssuer
0065104MedicaidOH
7100212190MedicaidKY

Other names 1

  • Our Lady of Bellefonte Hospital Durable Medical Equipment Doing business as

National Provider Directory

National Provider Directory
Part of
Cannosburg Outreach Ctr

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497830400000",
    "number": "1669776795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SAINT CHRISTOPHER DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017034",
            "telephone_number": "606-833-3333",
            "fax_number": "606-833-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SAINT CHRISTOPHER DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017016",
            "telephone_number": "606-833-6241",
            "fax_number": "606-833-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF BELLEFONTE HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUR LADY OF BELLEFONTE HOSPITAL",
        "enumeration_date": "2011-01-04",
        "last_updated": "2017-06-19",
        "status": "A",
        "authorized_official_last_name": "HALTER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "606-833-3600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0065104",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100212190",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our Lady of Bellefonte Hospital Durable Medical Equipment",
            "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 Jun 19, 2017; 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.