Provider Demographics
NPI:1750660296
Name:RUTHERFORD HOSPITAL INC
Entity Type:Organization
Organization Name:RUTHERFORD HOSPITAL INC
Other - Org Name:BOILING SPRINGS FAMILY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:T
Authorized Official - Last Name:BRIDGES
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:828-286-5572
Mailing Address - Street 1:305 W COLLEGE AVENUE
Mailing Address - Street 2:
Mailing Address - City:BOILING SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:28017-0815
Mailing Address - Country:US
Mailing Address - Phone:704-434-2281
Mailing Address - Fax:704-434-2801
Practice Address - Street 1:305 W COLLEGE AVENUE
Practice Address - Street 2:
Practice Address - City:BOILING SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:28017-0815
Practice Address - Country:US
Practice Address - Phone:704-434-2281
Practice Address - Fax:704-434-2801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty