Provider Demographics
NPI:1013903830
Name:RUTHERFORD HOSPITAL, INC.
Entity Type:Organization
Organization Name:RUTHERFORD HOSPITAL, INC.
Other - Org Name:RUTHERFORD ORTHOPAEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:D
Authorized Official - Last Name:BUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-286-5000
Mailing Address - Street 1:139 DOCTOR HENRY NORRIS DR
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORDTON
Mailing Address - State:NC
Mailing Address - Zip Code:28139-3176
Mailing Address - Country:US
Mailing Address - Phone:828-287-9260
Mailing Address - Fax:828-287-9709
Practice Address - Street 1:139 DOCTOR HENRY NORRIS DR
Practice Address - Street 2:
Practice Address - City:RUTHERFORDTON
Practice Address - State:NC
Practice Address - Zip Code:28139-3176
Practice Address - Country:US
Practice Address - Phone:828-287-9260
Practice Address - Fax:828-287-9709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-27
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC019H1OtherBCBS
NC5906857Medicaid
NC5906857Medicaid
235104PMedicare Oscar/Certification