MEDICARE: ASHE HEALTH SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	305S00000X	Point of Service

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700930039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASHE HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 297
Second Line	:
City	:	GLENDALE SPRINGS
State	:	NC
Zip	:	28629-0297
Country	:	US
Telephone Number	:	336-982-9441
Fax Number	:	336-982-4036

Provider Business Practice Location Address
First Line	:	735C PONY FARM RD.
Second Line	:
City	:	GLENDALE SPRINGS
State	:	NC
Zip	:	28629-0297
Country	:	US
Telephone Number	:	336-982-9441
Fax Number	:	336-982-4036

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. LARRY E. SMITH
Credential	:
Telephone Number	:	336-982-9441

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	08/22/2020

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Directions to “ASHE HEALTH SERVICES, INC. ” Practice Location

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