| Bellefonte Primary Care, Grayson | |
|
100 Bellefonte Dr Grayson KY 41143-1820 | |
| (606) 474-0669 | |
| Not Available |
| Full Name | Bellefonte Primary Care, Grayson |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Bellefonte Dr, Grayson, Kentucky |
| Authorized Official Name and Position | Troy Connett (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 6068333333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellefonte Primary Care, Grayson Po Box 2155 Ashland KY 41105-2155 Ph: (877) 214-4267 | Bellefonte Primary Care, Grayson 100 Bellefonte Dr Grayson KY 41143-1820 Ph: (606) 474-0669 |
| NPI Number | 1710123328 |
|---|---|
| Provider Enumeration Date | 01/02/2009 |
| Last Update Date | 05/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710123328 | NPI | - | NPPES |
| 000000609053 | Other | KY | ANTHEM BCBS |
| DN8303 | Other | KY | RR MEDICARE |
| 7100068100 | Medicaid | KY | |
| 2933295 | Medicaid | OH | |
| 7071800 | Other | KY | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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