Organization
ASHE MEMORIAL HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND DRAPER WILLIAMS II (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
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0761A
BCBS
NC
05
—
690761A
—
NC
Enumeration date
09/25/2006
Last updated
10/23/2007
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