Provider Demographics
NPI:1114003142
Name:RUTHERFORD HOSPITAL, INC.
Entity Type:Organization
Organization Name:RUTHERFORD HOSPITAL, INC.
Other - Org Name:INSIGHTS PSYCHIATRIC RESOURCES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:BIXLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-286-5000
Mailing Address - Street 1:393 OAK STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SPINDALE
Mailing Address - State:NC
Mailing Address - Zip Code:28160-1531
Mailing Address - Country:US
Mailing Address - Phone:828-287-3928
Mailing Address - Fax:828-286-3137
Practice Address - Street 1:393 OAK STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:SPINDALE
Practice Address - State:NC
Practice Address - Zip Code:28160-1531
Practice Address - Country:US
Practice Address - Phone:828-287-3928
Practice Address - Fax:828-286-3137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6006094Medicaid
NC5905755Medicaid
NC6006095Medicaid
NC6006096Medicaid
NC6006093Medicaid
D09153OtherMEDICARE RAILROAD
NC5905755Medicaid