Provider Demographics
NPI:1023199668
Name:RUTHERFORD HOSPITAL INC.
Entity Type:Organization
Organization Name:RUTHERFORD HOSPITAL INC.
Other - Org Name:ONESOURCE REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF REHABILITATION SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:PAWLIK
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:828-247-1588
Mailing Address - Street 1:2270 US HWY 74A
Mailing Address - Street 2:SUITE 341
Mailing Address - City:FOREST CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28043
Mailing Address - Country:US
Mailing Address - Phone:828-247-1588
Mailing Address - Fax:828-247-1692
Practice Address - Street 1:2270 US HWY 74A
Practice Address - Street 2:SUITE 341
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043
Practice Address - Country:US
Practice Address - Phone:828-247-1588
Practice Address - Fax:828-247-1692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC00489OtherBCBS
NC3400013Medicaid
NC3400013Medicaid