Provider Demographics
NPI:1700930039
Name:ASHE HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:ASHE HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:E
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-982-9441
Mailing Address - Street 1:PO BOX 297
Mailing Address - Street 2:
Mailing Address - City:GLENDALE SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:28629-0297
Mailing Address - Country:US
Mailing Address - Phone:336-982-9441
Mailing Address - Fax:336-982-4036
Practice Address - Street 1:735C PONY FARM RD.
Practice Address - Street 2:
Practice Address - City:GLENDALE SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:28629-0297
Practice Address - Country:US
Practice Address - Phone:336-982-9441
Practice Address - Fax:336-982-4036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409158Medicaid