Organization · NPI-2

Bellefonte Physician Services, INC.

Internal Medicine · Ashland, KY

NPI number1811484264

StatusActive

Last updated in NPPESMay 20, 2019

Details

NPI: 1811484264
Entity type: Organization (NPI-2)
Legal business name: Bellefonte Physician Services, INC.
Organization subpart: No
Enumeration date: Apr 20, 2018
Last updated: May 20, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes
207P00000X	Emergency Medicine	–	–
207Q00000X	Family Medicine	–	–
363AM0700X	Physician Assistant, Medical	–	–
363LF0000X	Nurse Practitioner, Family	–	–

Other names

Bellefonte Urgent Care, Ashland (Doing Business As)

Practice location

1816 Carter Ave Ste 2
Ashland, KY 41101-7643

Phone 606-833-2177 · Fax 606-833-4668

Mailing address

Po Box 2155
Ashland, KY 41105-2155

Phone 606-833-4922 · Fax 606-833-4668

Authorized official

Troy Connett
Director Of Finance
6068333333

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