FRANK T RUTHERFORD MEMORIAL HOSPITAL, INC (NPI# 1376751099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376751099 |
| Entity Type | Organization |
| Organization Name | FRANK T RUTHERFORD MEMORIAL HOSPITAL, INC |
| Other Organization Name | GORDONSVILLE CLINIC |
| Practice Address |
126 Jmz Dr Gordonsville TN 38563-2152 |
| Mailing Address |
555 Hartsville Pike Gallatin TN 37066-2400 |
| Practice Telephone | 6156831072 |
| Mailing Telephone | 6153286695 |
| Mailing Fax Number | 6153286698 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. LYNN NORVELL (CFO) |
| Authorized Official Telephone | 6153286695 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRANK T RUTHERFORD MEMORIAL HOSPITAL, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
0000000129 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | A3703300 | 05 | |
| TN | BLUE CROSS | 1000177 | 01 |
| TN | 0441307 | 05 |
| Other Name | Type Code |
|---|---|
| Gordonsville Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619185428 | Frank T Rutherford Memorial Hospital, Inc | Clinic/Center | 718 Lafayette Rd, Red Boiling Springs, TN 37150-2021 | 2007-05-18 |
| 1629082466 | Frank T Rutherford Memorial Hospital, Inc | General Acute Care Hospital | 130 Lebanon Hwy, Carthage, TN 37030-2955 | 2006-07-28 |
| 1801814629 | Frank T Rutherford Memorial Hospital, Inc | General Acute Care Hospital | 130 Lebanon Hwy, Carthage, TN 37030-2955 | 2006-07-18 |
| Street Address |
126 JMZ DR |
| City | GORDONSVILLE |
| State | TN |
| Zip Code | 38563-2152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457428195 | Angela Sue Moss | Family Medicine | 126 Jmz Dr, Gordonsville, TN 38563-2152 | 2006-11-29 |
| 1033310206 | Gordonsville Clinic | Family Medicine | 126 Jmz Dr, Gordonsville, TN 38563-2152 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629675202 | Ali Lannom | Occupational Therapist | 417 Gordonsville Hwy, Suite 100, Gordonsville, TN 38563 | 2020-10-06 |
| 1053867184 | Smith County Family Medical LLC | Nurse Practitioner | 8 New Middleton Hwy, Ste A, Gordonsville, TN 38563 | 2016-08-29 |
| 1598098600 | Bethany N Carpenter | Physical Therapist | 112 Bradford Blvd Ste 500, Gordonsville, TN 38563 | 2009-09-09 |
| 1912156696 | Kimberly D Gregory | Nurse Practitioner | 8 New Middleton Hwy, Ste A, Gordonsville, TN 38563 | 2008-09-17 |
| 1396866372 | Gordonsville Drugs, Inc | Pharmacy | 8 New Middleton Hwy, Gordonsville, TN 38563 | 2007-04-03 |
| 1891191870 | Casey J Owen Dds Family Dentistry Pllc | Dentist | 14 Main St E, Suite A, Gordonsville, TN 38563-2036 | 2014-11-18 |
| 1669872735 | Riverview Physician Practices, LLC | Nurse Practitioner | 14 Main Street, Suite B, Gordonsville, TN 38563-2036 | 2014-08-26 |
| 1205931565 | Michael L Noble | Family Medicine | 14 Main St E Ste B, Gordonsville, TN 38563-2054 | 2006-09-13 |
| 1962548677 | Dayna L Sykes | Counselor | 169 Jmz Dr, Gordonsville, TN 38563-2106 | 2007-01-29 |
| 1023527199 | Angel Decole Babcock | Counselor | 211 Grant Rd, Gordonsville, TN 38563-4569 | 2017-09-21 |
| Find all providers in zip 38563 | ||||
| Taxonomy Code | 261QC0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Critical Access Hospital |
| An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |
| Notes: [7/1/2003: new] |
| City | GORDONSVILLE |
| Zip Code | 38563 |
Please comment or provide details below to improve the information on FRANK T RUTHERFORD MEMORIAL HOSPITAL, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.