Provider Demographics
NPI:1578693545
Name:FRANK T RUTHERFORD HOSPITAL INC
Entity Type:Organization
Organization Name:FRANK T RUTHERFORD HOSPITAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:NORVELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-735-9815
Mailing Address - Street 1:PO BOX 292245
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37229-2245
Mailing Address - Country:US
Mailing Address - Phone:615-735-9815
Mailing Address - Fax:
Practice Address - Street 1:130 LEBANON HWY
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:TN
Practice Address - Zip Code:37030-2955
Practice Address - Country:US
Practice Address - Phone:615-735-9815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
3282272Medicare ID - Type UnspecifiedGROUP MEDICARE #