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
1	261QP2300X	Primary Care Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	DF8810	OTHER		MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0185J	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1154424125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUTHERFORD HOSPITAL, INC.

Provider Business Mailing Address
First Line	:	1269 HWY 221 A
Second Line	:
City	:	FOREST CITY
State	:	NC
Zip	:	28043-5921
Country	:	US
Telephone Number	:	828-657-5371
Fax Number	:	828-657-9190

Provider Business Practice Location Address
First Line	:	1269 HWY 221 A
Second Line	:
City	:	FOREST CITY
State	:	NC
Zip	:	28043-5921
Country	:	US
Telephone Number	:	828-657-5371
Fax Number	:	828-657-9190

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MR. DAVID M. BIXLER
Credential	:
Telephone Number	:	828-286-5000

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	07/18/2011

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Directions to “RUTHERFORD HOSPITAL, INC. ” Practice Location

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