OUR LADY OF BELLEFONTE HOSPITAL (NPI# 1124036355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124036355 |
| Entity Type | Organization |
| Organization Name | OUR LADY OF BELLEFONTE HOSPITAL |
| Other Organization Name | SOUTH SHORE OUTREACH |
| Practice Address |
Us 23 At Indianola Avenue South Shore KY 41175 |
| Mailing Address |
Us Rt 23 At Indianola Avenue South Shore KY 41175 |
| Practice Telephone | 6069323150 |
| Practice Fax Number | 6069326896 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2008-09-15 |
| Authorized Official Name | JOE BUCCHEIT (CFO) |
| Authorized Official Telephone | 6068333333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 31000110 | 05 | |
| KY | ANTHEM BCBS | 000000551173 | 01 |
| OH | 2491147 | 05 |
| Other Name | Type Code |
|---|---|
| South Shore Outreach | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083823421 | Our Lady of Bellefonte Hospital | Internal Medicine | 1180 Saint Christopher Dr, Ste. 2, Ashland, KY 41101-7055 | 2007-05-22 |
| 1659307585 | Our Lady of Bellefonte Hospital | Family Medicine | 2420 Argillite Road, Suite B, Flatwoods, KY 41139 | 2006-06-23 |
| 1699717934 | Our Lady of Bellefonte Hospital | Family Medicine | 12470 Us Route 60, Ashland, KY 41102-9687 | 2006-06-12 |
| 1396173308 | Our Lady of Bellefonte Hospital | Nurse Practitioner | 1180 Saint Christopher Dr, Ste. 1, Ashland, KY 41101-7055 | 2013-10-30 |
| 1730349044 | Our Lady of Bellefonte Hospital | Nurse Practitioner | 1000 Ashland Dr, Ste G2, Ashland, KY 41101-7084 | 2008-06-10 |
| 1790954899 | Our Lady of Bellefonte Hospital | Family Medicine | 2028 Winchester Ave, Ashland, KY 41101-7744 | 2008-02-22 |
| 1124297247 | Our Lady of Bellefonte Hospital | Nurse Practitioner | 2001 Winchester Ave, Ashland, KY 41101-7743 | 2008-02-22 |
| 1427106335 | Our Lady of Bellefonte Hospital | Pediatrics | 2028 Winchester Ave, Ste. 2, Ashland, KY 41101-7744 | 2007-01-08 |
| 1215099486 | Our Lady of Bellefonte Hospital | Nurse Practitioner | 2001 Winchester Ave, Ashland, KY 41101-7743 | 2006-12-14 |
| 1245248459 | Our Lady of Bellefonte Hospital | Pediatrics | 2420 Argillite Rd, Flatwoods, KY 41139-1972 | 2006-08-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OUR LADY OF BELLEFONTE HOSPITAL | 1000 Saint Christopher Dr, Ashland, KY 41101-7034 |
| Street Address |
US 23 AT INDIANOLA AVENUE |
| City | SOUTH SHORE |
| State | KY |
| Zip Code | 41175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649200072 | Jennifer L. Atkins | Physician Assistant | Us 23 At Indianola Avenue, South Shore, KY 41175 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003387523 | Karen Palmer | Home Health Aide | 72 Kingsway Drive, South Shore, KY 41175 | 2018-12-10 |
| 1962775569 | Greenup County Health Dept | Public Health or Welfare | 425 James Hannah Drive, Suite 2, South Shore, KY 41175 | 2012-02-14 |
| 1891083036 | Lewis County Primary Care Center, Inc. | Clinic/Center | 142 Depot Street, South Shore, KY 41175 | 2011-07-20 |
| 1740435445 | Bellefonte Physician Services, Inc. | Internal Medicine | Us 23 At Indianola Ave., South Shore, KY 41175 | 2008-11-21 |
| 1386893840 | Zachary Duane Underwood | Family Medicine | Us 23 At Indianola Ave, South Shore, KY 41175 | 2008-09-09 |
| 1548471659 | Amber Blanton-mccalvin Chiropractic, Inc. | Chiropractor | 28350 U.S. 23, South Shore, KY 41175 | 2007-05-24 |
| 1255494928 | Philip E Brown | Dentist | 126 Biggs Lane, South Shore, KY 41175 | 2006-12-18 |
| 1053498592 | Premier Therapy and Health Ctrs Inc | Clinic/Center | Halls Building Us 23, South Shore, KY 41175 | 2006-11-01 |
| 1144306150 | Wright Care Home Medical Supplies,inc. | Durable Medical Equipment & Medical Supplies | 74 Biggs Lane, South Shore, KY 41175 | 2006-10-31 |
| 1255416384 | Jerry Wayne Iery | Physician Assistant | 142 Depot Dr, South Shore, KY 41175 | 2006-10-26 |
| Find all providers in zip 41175 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740435445 | Bellefonte Physician Services, Inc. | Internal Medicine | Us 23 At Indianola Ave., South Shore, KY 41175 | 2008-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587555 | Isaiah House Inc | Internal Medicine | 975 Hustonville Rd Ste 9, Danville, KY 40422-2165 | 2020-10-30 |
| 1245830017 | James Duncan Md Consulting Service | Internal Medicine | 109 Venetian Way, Danville, KY 40422-9028 | 2020-10-29 |
| 1689280216 | Hmps Internal Medicine of West Louisville Pllc | Internal Medicine | 2730 Brownsboro Rd Apt 164, Louisville, KY 40206-1268 | 2020-09-18 |
| 1548887086 | Neck Back & Knee Center Inc | Internal Medicine | 7560 Us 42 Ste A, Florence, KY 41042-1908 | 2020-07-01 |
| 1295351484 | Commonwealth Health Corporation, Inc | Internal Medicine | 350 Park St Ste 102, Bowling Green, KY 42101-1700 | 2020-06-23 |
| 1518594282 | Integra-telemedicine | Internal Medicine | 4108 Clearwater Way, Lexington, KY 40515-6000 | 2020-03-24 |
| 1356985907 | Peter Aliu Md Pllc | Internal Medicine | 103 Stable Way, Nicholasville, KY 40356-8047 | 2019-11-06 |
| 1609420272 | Telemedicine House Calls, LLC | Internal Medicine | 2161 S Boundary Rd, Radcliff, KY 40160-9686 | 2019-07-31 |
| 1174085203 | New Hope Recovery LLC | Internal Medicine | 2503 Bush Ridge Dr Ste A, Louisville, KY 40245-5885 | 2019-04-06 |
| 1104383322 | New Dawn 365 Centers Pllc | Internal Medicine | 2101 Wiltshire Pl, Lexington, KY 40515-1167 | 2019-02-24 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH SHORE |
| Zip Code | 41175 |
Please comment or provide details below to improve the information on OUR LADY OF BELLEFONTE HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.