# ASHE MEMORIAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417947375
- **Authorized official:** MR. RAYMOND DRAPER WILLIAMS II MBA (CEO)
- **Authorized official phone:** (336) 846-0790

## Contact information

- **Practice address:** 200 HOSPITAL AVE, JEFFERSON, NC 28640-9244
- **Practice address phone:** (336) 846-7101
- **Practice address fax:** (336) 846-0758
- **Mailing address:** 200 HOSPITAL AVE, JEFFERSON, NC 28640-9244
- **Mailing address phone:** (336) 846-7101
- **Mailing address fax:** (336) 846-0758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/24/2005
- **Last updated:** 01/23/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0099N | BLUE CROSS | NC |
| 05 | — | 3405424 | — | NC |
| 05 | — | 340602F | — | NC |