Healthcare Provider Details

I. General information

NPI: 1952401366
Provider Name (Legal Business Name): ASHE MEMORIAL HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HOSPITAL AVE
JEFFERSON NC
28640-9244
US

IV. Provider business mailing address

200 HOSPITAL AVE
JEFFERSON NC
28640-9244
US

V. Phone/Fax

Practice location:
  • Phone: 336-846-7101
  • Fax: 336-846-0758
Mailing address:
  • Phone: 336-846-7101
  • Fax: 336-846-0758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: RAYMOND DRAPER WILLIAMS II
Title or Position: CEO
Credential:
Phone: 336-846-0790