Organization Name: | ASHE FAMILY HEALTHCARE |
NPI Number: | 1578989463 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEREK ROBERT MCCLURE (NURSE PRACTITIONER / OWNER) |
Mailing Address: | 952 Us Highway 221 Bus West Jefferson |
State: | NC US |
Postal Code: | 286948137 |
Phone Number: | 3368466100 |
Fax Number: | 3368467900 |
NPI Enumeration Date: | 03/15/2014 |
NPI Last Update Date: | 03/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |