Provider Demographics
NPI:1932472081
Name:RUTHERFORD SPECIALTY CLINIC
Entity Type:Organization
Organization Name:RUTHERFORD SPECIALTY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:ELEANOR
Authorized Official - Last Name:MCGRIFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-288-2881
Mailing Address - Street 1:187 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPINDALE
Mailing Address - State:NC
Mailing Address - Zip Code:28160-1539
Mailing Address - Country:US
Mailing Address - Phone:828-288-2881
Mailing Address - Fax:828-288-2883
Practice Address - Street 1:187 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SPINDALE
Practice Address - State:NC
Practice Address - Zip Code:28160-1539
Practice Address - Country:US
Practice Address - Phone:828-288-2881
Practice Address - Fax:828-288-2883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty