Provider Demographics
NPI:1861769192
Name:BELMONT COMMUNITY HOSPITAL INC
Entity type:Organization
Organization Name:BELMONT COMMUNITY HOSPITAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SENIOR ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBLASIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-671-1200
Mailing Address - Street 1:51339 NATIONAL RD E
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-9119
Mailing Address - Country:US
Mailing Address - Phone:740-695-5604
Mailing Address - Fax:740-695-5716
Practice Address - Street 1:51339 NATIONAL RD E
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-9119
Practice Address - Country:US
Practice Address - Phone:740-695-5604
Practice Address - Fax:740-695-5716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-01
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0002X
OH0221654503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2132851OtherPK