Provider Demographics
NPI:1952677999
Name:RUTHERFORD HOSPITAL INC
Entity Type:Organization
Organization Name:RUTHERFORD HOSPITAL INC
Other - Org Name:RUTHERFORD WOUND CARE & HYPERBARICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIDGES
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:828-286-5572
Mailing Address - Street 1:112 SPARKS DR
Mailing Address - Street 2:
Mailing Address - City:FOREST CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28043-9021
Mailing Address - Country:US
Mailing Address - Phone:828-351-6000
Mailing Address - Fax:828-287-7436
Practice Address - Street 1:112 SPARKS DR
Practice Address - Street 2:
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-9021
Practice Address - Country:US
Practice Address - Phone:828-351-6000
Practice Address - Fax:828-287-7436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-23
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty