OrganizationOur Lady Of Bellefonte Hospital Inc.(<Unavail>)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address1000 Saint Christopher Dr, Ashland, KY 41101-7034(606) 833-3333(606) 833-4922PECOS EnrollmentBased on the most recent information from CMS, provider Our Lady Of Bellefonte Hospital Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1427204825Provider TypeOrganizationFull NameOur Lady Of Bellefonte Hospital Inc.Other Name<Unavail>SubpartNoEnumeration Date8/18/2008Last Updated2/20/2019Contact InformationPractice LocationPractice Address1000 Saint Christopher Dr, Ashland, KY 41101-7034Phone(606) 833-3333FaxUnlisted FaxMailing LocationMailing AddressPO Box 2155, Ashland, KY 41105-2155Phone(606) 833-4922FaxUnlisted FaxAuthorized OfficialNameConnett, Troy (Director Of Finance)Phone(606) 833-3333Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207RI0200XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID0193069DescriptionMedicaidIssuerUnlistedOhioID7100051180DescriptionMedicaidIssuerUnlistedKentuckyID000000577941DescriptionOtherIssuerANTHEM BCBSKentucky