Provider Demographics
NPI:1770686743
Name:RUTHERFORD HOSPITAL, INC.
Entity Type:Organization
Organization Name:RUTHERFORD HOSPITAL, INC.
Other - Org Name:FOREST CITY FAMILY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MBA
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:T
Authorized Official - Last Name:BRIDGES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-286-5000
Mailing Address - Street 1:212 ALLENDALE DR
Mailing Address - Street 2:
Mailing Address - City:FOREST CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28043-2889
Mailing Address - Country:US
Mailing Address - Phone:828-245-0191
Mailing Address - Fax:828-245-8830
Practice Address - Street 1:212 ALLENDALE DR
Practice Address - Street 2:
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-2889
Practice Address - Country:US
Practice Address - Phone:828-245-0191
Practice Address - Fax:828-245-8830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CJ2348OtherMEDICARE RAILROAD
NC02061OtherBCBS
NC7902061Medicaid
CN9590OtherMEDICARE RAILROAD
NC7902061Medicaid