Organization Active NPI

Our Lady of Bellefonte Hospital Inc.

Doing business as Pediatric Rehab

  • General Acute Care Hospital
  • Ashland, KY
National Provider Identifier
1881021772
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
OUR LADY OF BELLEFONTE HOSPITAL INC.
Doing business as
Pediatric Rehab
Practice address
1100 Saint Christopher Dr
Ashland, KY 41101-7055
Phone
(606) 833-6713
NPI assigned
Oct 9, 2013
Last updated
Jul 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Authorized official

Name
Jason Asic
Title
Coo
Phone
(513) 215-0203

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

1100 Saint Christopher Dr
Ashland, KY 41101-7055

Mailing address

1100 Saint Christopher Dr
Ashland, KY 41101-7055
Phone (606) 833-6713

Other names 1

  • Pediatric Rehab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
South Shore Outreach CN5 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1881021772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SAINT CHRISTOPHER DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017055",
            "telephone_number": "606-833-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SAINT CHRISTOPHER DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017055",
            "telephone_number": "606-833-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF BELLEFONTE HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "ASIC",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "513-215-0203"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Rehab",
            "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 Jul 29, 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.