Provider Demographics
NPI:1861403420
Name:BELMONT COUNTY HEALTH SERVICES INC
Entity type:Organization
Organization Name:BELMONT COUNTY HEALTH SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-425-5101
Mailing Address - Street 1:66840 BELMONT MORRISTOWN RD
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43718-9665
Mailing Address - Country:US
Mailing Address - Phone:740-782-1230
Mailing Address - Fax:740-782-1582
Practice Address - Street 1:66840 BELMONT MORRISTOWN RD
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:OH
Practice Address - Zip Code:43718-9665
Practice Address - Country:US
Practice Address - Phone:740-782-1230
Practice Address - Fax:740-782-1582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
OHRTP0205747503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3637850OtherNCPDP PROVIDER IDENTIFICATION NUMBER
OH0721213Medicaid
OH0721213Medicaid