Provider Demographics
NPI:1255528477
Name:RUTHERFORD HOSPITAL, INC.
Entity type:Organization
Organization Name:RUTHERFORD HOSPITAL, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:B
Authorized Official - Last Name:BROSS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:828-286-5000
Mailing Address - Street 1:128 DOCTOR HENRY NORRIS DR
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORDTON
Mailing Address - State:NC
Mailing Address - Zip Code:28139-3165
Mailing Address - Country:US
Mailing Address - Phone:828-287-7502
Mailing Address - Fax:828-287-7504
Practice Address - Street 1:128 DOCTOR HENRY NORRIS DR
Practice Address - Street 2:
Practice Address - City:RUTHERFORDTON
Practice Address - State:NC
Practice Address - Zip Code:28139-3165
Practice Address - Country:US
Practice Address - Phone:828-287-7502
Practice Address - Fax:828-287-7504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC019PYOtherBCBS
NC5908651Medicaid
NC5908651Medicaid