| Bellefonte Medical Center Inc | |
|
401 Us Route 23 Greenup KY 41144-1074 | |
| (606) 473-1501 | |
| (606) 473-1503 |
| Full Name | Bellefonte Medical Center Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 401 Us Route 23, Greenup, Kentucky |
| Authorized Official Name and Position | Jesus Presto Querubin (OWNER) |
| Authorized Official Contact | 6064731501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellefonte Medical Center Inc Po Box 828 Greenup KY 41144-1074 Ph: (606) 473-1501 | Bellefonte Medical Center Inc 401 Us Route 23 Greenup KY 41144-1074 Ph: (606) 473-1501 |
| NPI Number | 1124003488 |
|---|---|
| Provider Enumeration Date | 12/09/2005 |
| Last Update Date | 11/23/2009 |
| Medicare PECOS PAC ID | 1355248535 |
|---|---|
| Medicare Enrollment ID | O20031216000486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124003488 | NPI | - | NPPES |
| 65939936 | Medicaid | KY | |
| DA4715 | Other | RR MEDICARE | |
| 000000235494 | Other | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jesus P Querubin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609965375 PECOS PAC ID: 4981517927 Enrollment ID: I20031106000591 |
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