Healthcare Provider Details

I. General information

NPI: 1902481195
Provider Name (Legal Business Name): ASHLEY HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2021
Last Update Date: 03/10/2021
Certification Date: 03/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 MOUNT OLIVE RIDGE RD
BELLEVILLE WV
26133-8598
US

IV. Provider business mailing address

PO BOX 153
MINERAL WELLS WV
26150-0153
US

V. Phone/Fax

Practice location:
  • Phone: 304-514-1951
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: