Healthcare Provider Details

I. General information

NPI: 1558161042
Provider Name (Legal Business Name): RUTHERFORD HOUSING PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

718 W MAIN ST
FOREST CITY NC
28043-2821
US

IV. Provider business mailing address

718 W MAIN ST
FOREST CITY NC
28043-2821
US

V. Phone/Fax

Practice location:
  • Phone: 828-248-3431
  • Fax:
Mailing address:
  • Phone: 828-248-3431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL THOMAS LEWIS
Title or Position: EXECUTIVE DIRECTOR
Credential: MBA, CFRE
Phone: 828-395-1383