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NPI Code Detail

MEDICARE: RUTHERFORD HOSPITAL INC

MEDICARE: RUTHERFORD HOSPITAL INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner

General Provider Information

NPI Number : 1679858914
Entity Type Code : Organization
Provider Name (Legal Business Name) : RUTHERFORD HOSPITAL INC
Provider Business Mailing Address
First Line : 288 S RIDGECREST AVE
Second Line :
City : RUTHERFORDTON
State : NC
Zip : 28139-2838
Country : US
Telephone Number : 828-286-5572
Fax Number : 828-286-5387
Provider Business Practice Location Address
First Line : 197 PLAZA DR
Second Line :
City : FOREST CITY
State : NC
Zip : 28043-3712
Country : US
Telephone Number : 828-286-5572
Fax Number : 828-286-5387
Authorized Official
Title or Position : CEO
Name : DAVID M BIXLER
Credential :
Telephone Number : 828-286-5000
Provider Enumeration Date : 10/19/2011
Last Update Date : 10/19/2011

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Directions to “RUTHERFORD HOSPITAL INC ” Practice Location

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