Provider Demographics
NPI:1245574003
Name:RUTHERFORD HOSPITAL INC
Entity Type:Organization
Organization Name:RUTHERFORD HOSPITAL INC
Other - Org Name:RUTHERFORD UROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CINY
Authorized Official - Middle Name:D
Authorized Official - Last Name:BUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-286-5000
Mailing Address - Street 1:288 S RIDGECREST AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RUTHERFORDTON
Mailing Address - State:NC
Mailing Address - Zip Code:28139-2838
Mailing Address - Country:US
Mailing Address - Phone:828-286-5573
Mailing Address - Fax:828-286-5387
Practice Address - Street 1:288 S RIDGECREST AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:RUTHERFORDTON
Practice Address - State:NC
Practice Address - Zip Code:28139-2838
Practice Address - Country:US
Practice Address - Phone:828-286-5573
Practice Address - Fax:828-286-5387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-19
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty