Organization
ASHE MEMORIAL HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND DRAPER WILLIAMS II MBA (CEO)
(336) 846-0790
Entity
Organization
Contact information
Practice address
200 HOSPITAL AVE, JEFFERSON, NC 28640-9244
(336) 846-7101
(336) 846-0758
Mailing address
200 HOSPITAL AVE, JEFFERSON, NC 28640-9244
(336) 846-7101
(336) 846-0758
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099N
BLUE CROSS
NC
05
—
3405424
—
NC
05
—
340602F
—
NC
Enumeration date
10/24/2005
Last updated
01/23/2012
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