Healthcare Provider Details

I. General information

NPI: 1881742401
Provider Name (Legal Business Name): OUR LADY OF BELLEFONTE HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 02/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 E RING RD
IRONTON OH
45638-9610
US

IV. Provider business mailing address

8580 MAGELLAN PKWY
RICHMOND VA
23227-1149
US

V. Phone/Fax

Practice location:
  • Phone: 740-533-9010
  • Fax: 740-533-0982
Mailing address:
  • Phone: 804-627-5462
  • Fax: 866-449-0896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number150098
License Number StateKY

VIII. Authorized Official

Name: LAURA BUCZKOWSKI
Title or Position: CFO
Credential:
Phone: 410-442-3373