Healthcare Provider Details

I. General information

NPI: 1285799080
Provider Name (Legal Business Name): ASHLAND-BELLEFONTE CARDIOLOGY, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 SAINT CHRISTOPHER DR
ASHLAND KY
41101-7030
US

IV. Provider business mailing address

800 SAINT CHRISTOPHER DR
ASHLAND KY
41101-7030
US

V. Phone/Fax

Practice location:
  • Phone: 606-836-9613
  • Fax: 606-836-0026
Mailing address:
  • Phone: 606-836-9613
  • Fax: 606-836-0026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHARLES MILTON RHODES
Title or Position: PRESIDENT
Credential: MD
Phone: 606-836-9613