ASHE MEMORIAL HOSPITAL, INC. (NPI# 1427048172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427048172 |
Entity Type | Organization |
Organization Name | ASHE MEMORIAL HOSPITAL, INC. |
Other Organization Name | MOUNTAIN FAMILY CARE CENTER |
Practice Address |
200 Hospital Ave Jefferson NC 28640-9244 |
Practice Telephone | 3368466322 |
Practice Fax Number | 3368461702 |
Mailing Telephone | 3368466322 |
Mailing Fax Number | 3368461702 |
Enumeration Date | 2005-10-25 |
Last Update Date | 2015-08-10 |
Authorized Official Name | MS. LAURA LAMBETH (CEO) |
Authorized Official Telephone | 3368460790 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | BLUE CROSS | 016TY | 01 |
NC | 343425C | 05 |
Other Name | Type Code |
---|---|
Mountain Family Care Center | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
North Carolina Corporations | Ashe Memorial Hospital, Inc. | 200 hospital ave, Jefferson, NC 28640 |
Street Address |
200 HOSPITAL AVE |
City | JEFFERSON |
State | NC |
Zip Code | 28640-9244 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770576704 | Deborah Lynne Siders | Nurse Anesthetist, Certified Registered | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2005-08-24 |
1932752763 | Dustin Paul Absher | Physical Therapist | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2019-07-21 |
1780248369 | Brian Branton Ulrich | Physical Therapist | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2019-04-29 |
1376053512 | Ashe Financial Services, LLC | Orthopaedic Surgery | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2017-10-02 |
1477080497 | South Atlantic Anesthesia Solutions | Anesthesiology | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2017-05-22 |
1295193340 | Ashe Financial Services, LLC | Family Medicine | 200 Hospital Ave, Suite 3, Jefferson, NC 28640-9244 | 2016-02-04 |
1376909481 | Sarah Moss Mcneil | Nurse Anesthetist, Certified Registered | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2016-01-05 |
1487022372 | Kathleen Miller | Nurse Practitioner | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2015-09-09 |
1720495336 | Jefferson Emergency Services, Pllc | Emergency Medicine | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2014-07-15 |
1952739450 | Novant Medical Group Inc | Internal Medicine | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2013-10-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
1902466543 | Emily Claire Wilson | Physical Therapist | 419 East Main Street Unit 4, Jefferson, NC 28640 | 2019-06-17 |
1457824393 | Miranda Lyalls Jordan | Nurse Practitioner | 310 Hospital Ave, Jefferson, NC 28640 | 2019-01-03 |
1659859247 | Molly Reynolds | Physical Therapist | 419 E. Main St. Unit 4, Jefferson, NC 28640 | 2018-08-06 |
1548644040 | Amanda Stroud | Dentist | 225 Court Street, Jefferson, NC 28640 | 2015-07-14 |
1710388772 | Schuster Physical Therapy Inc. | Clinic/Center | 419 E. Main St., Jefferson, NC 28640 | 2014-09-09 |
1437589199 | Rebecca Scoggin Clark | Nurse Practitioner | 413 Mcconnell Street, Jefferson, NC 28640 | 2013-11-16 |
1093029498 | Robin Arlene Edwards | Nurse Practitioner | 151 Medical Park Dr., Jefferson, NC 28640 | 2010-07-28 |
1659516979 | Patricia Ann Franklin | Physical Therapist | 125 Colvard Farm Rd, Unit 7, Jefferson, NC 28640 | 2008-12-16 |
1730363342 | Ashe County Public Schools | Local Education Agency (LEA) | 320 South Street, Jefferson, NC 28640 | 2007-12-19 |
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Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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1780664011 | Jefferson Family Health Center | Clinic/Center | 106 N Alley St, Jefferson, TX 75657-1408 | 2006-01-20 |
1598093239 | Phynet, Inc | Clinic/Center | 219 N Polk St, Jefferson, TX 75657-2131 | 2009-11-18 |
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1528559671 | Bladen Healthcare LLC | Clinic/Center | 273 White Lake Dr, White Lake, NC 28337 | 2018-05-24 |
1043759335 | Bladen Healthcare LLC | Clinic/Center | 88 E Green St., Clarkton, NC 28433-5002 | 2017-02-20 |
1114269677 | Bladen Healthcare LLC | Clinic/Center | 107e Dunham St, Elizabethtown, NC 28337-9037 | 2013-03-22 |
1699062802 | Cah Acquisition Company 1 LLC | Clinic/Center | 9500 Nc Highway 94 North, Creswell, NC 27928-8808 | 2011-07-08 |
1912294687 | Pioneer Health Services of Stokes County, Inc. | Clinic/Center | 1020 Hospice Drive, Danbury, NC 27016-0000 | 2011-07-01 |
1578858247 | Warren Community Health Clinic Inc. | Clinic/Center | 546 W Ridgeway St, Warrenton, NC 27589-1716 | 2011-06-10 |
1427282045 | Southeastern Regional Physician Services | Clinic/Center | 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 | 2009-05-11 |
1578702189 | Appalachian Healthcare, Inc. | Clinic/Center | 9330 Highway 194, Lansing, NC 28643-0184 | 2009-02-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.