Provider Demographics
NPI:1639757974
Name:ASHE MEMORIAL HOSPITAL INC
Entity Type:Organization
Organization Name:ASHE MEMORIAL HOSPITAL INC
Other - Org Name:FLEETWOOD FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-846-0798
Mailing Address - Street 1:200 HOSPITAL AVE
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28640-9244
Mailing Address - Country:US
Mailing Address - Phone:336-846-0704
Mailing Address - Fax:336-846-0758
Practice Address - Street 1:13300-13290 HWY 221 S
Practice Address - Street 2:
Practice Address - City:FLEETWOOD
Practice Address - State:NC
Practice Address - Zip Code:28626-0178
Practice Address - Country:US
Practice Address - Phone:336-877-9090
Practice Address - Fax:336-877-8880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-30
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty