Provider Demographics
NPI:1225083413
Name:COUNTY OF RUTHERFORD FINANCE OFFICE
Entity Type:Organization
Organization Name:COUNTY OF RUTHERFORD FINANCE OFFICE
Other - Org Name:RUTHERFORD COUNTY EMERGENCY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING AND COMPLIANCE SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-287-6153
Mailing Address - Street 1:PO BOX 31
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORDTON
Mailing Address - State:NC
Mailing Address - Zip Code:28139-0031
Mailing Address - Country:US
Mailing Address - Phone:828-287-6153
Mailing Address - Fax:828-287-6058
Practice Address - Street 1:339 CALLAHAN KOON RD
Practice Address - Street 2:
Practice Address - City:SPINDALE
Practice Address - State:NC
Practice Address - Zip Code:28160-2242
Practice Address - Country:US
Practice Address - Phone:828-287-6076
Practice Address - Fax:828-287-6489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0810296341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3406669Medicaid
NC0728GOtherBCBS NON PAR PROVIDER NUM
NC278003Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
NC3406669Medicaid