RUTHERFORD HOSPITAL INC (NPI# 1679858914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679858914 |
| Entity Type | Organization |
| Organization Name | RUTHERFORD HOSPITAL INC |
| Other Organization Name | THE CLINIC AT WALMART |
| Practice Address |
197 Plaza Dr Forest City NC 28043-3712 |
| Mailing Address |
288 S Ridgecrest Ave Rutherfordton NC 28139-2838 |
| Practice Telephone | 8282865572 |
| Practice Fax Number | 8282865387 |
| Mailing Telephone | 8282865572 |
| Mailing Fax Number | 8282865387 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |
| Authorized Official Name | DAVID M BIXLER (CEO) |
| Authorized Official Telephone | 8282865000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| The Clinic at Walmart | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750660296 | Rutherford Hospital Inc | Family Medicine | 305 W College Avenue, Boiling Springs, NC 28017-0815 | 2011-08-16 |
| 1003947979 | Rutherford Hospital Inc | Pharmacy | 607 120 Hwy, Mooresboro, NC 28114 | 2007-03-09 |
| 1245574003 | Rutherford Hospital Inc | Urology | 288 S Ridgecrest Ave, Suite 100, Rutherfordton, NC 28139-2838 | 2012-11-19 |
| 1952677999 | Rutherford Hospital Inc | Preventive Medicine | 112 Sparks Dr, Forest City, NC 28043-9021 | 2012-03-23 |
| 1336430396 | Rutherford Hospital Inc | Preventive Medicine | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 | 2011-04-26 |
| 1225329378 | Rutherford Hospital Inc | Pediatrics | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 | 2011-04-25 |
| 1164684437 | Rutherford Hospital Inc | Anesthesiology | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 | 2008-06-27 |
| Street Address |
197 PLAZA DR |
| City | FOREST CITY |
| State | NC |
| Zip Code | 28043-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275580490 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 197 Plaza Dr, Forest City, NC 28043-3712 | 2006-05-31 |
| 1184108003 | Curtis Koone | Pharmacist | 197 Plaza Dr, Forest City, NC 28043-3712 | 2018-09-17 |
| 1417341405 | Kyle Judson Kenyon | Physician Assistant | 197 Plaza Dr, The Clinic At Walmart, Forest City, NC 28043-3712 | 2015-03-27 |
| 1447668793 | Brian Christopher Robbins | Pharmacist | 197 Plaza Dr, Forest City, NC 28043-3712 | 2014-07-31 |
| 1427465491 | Tonya Taylor | Pharmacist | 197 Plaza Dr, Forest City, NC 28043-3712 | 2014-07-22 |
| 1699182600 | Sean Russel Ott | Pharmacist | 197 Plaza Dr, Forest City, NC 28043-3712 | 2014-07-22 |
| 1912314915 | Krista Debrew | Pharmacist | 197 Plaza Dr, Forest City, NC 28043-3712 | 2014-07-22 |
| 1972845204 | Alan D Ancillotti | Nurse Practitioner | 197 Plaza Dr, Forest City, NC 28043-3712 | 2013-03-25 |
| 1255358495 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 197 Plaza Dr, Forest City, NC 28043-3712 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528475530 | Lori Hammond West | Pharmacist | 139 East Main St, Forest City, NC 28043 | 2014-07-22 |
| 1982989943 | Hope Care Center, Inc. | Assisted Living Facility | 136 Yelton's Circle, Forest City, NC 28043 | 2011-10-20 |
| 1770804643 | Brandi R Holtsclaw | Physical Therapist | 2270 Us Hwy 74a Suite 341, Onesource Rehab, Forest City, NC 28043 | 2010-06-15 |
| 1093944217 | New Start of The Piedmont Inc. | Community/Behavioral Health | 331 South. Broadway Street., Forest City, NC 28043 | 2009-07-09 |
| 1568690493 | Directcare Community Based Services, LLC | Community/Behavioral Health | 129 First Street, Forest City, NC 28043 | 2009-06-30 |
| 1760663058 | Americare Developmental Services | Residential Treatment Facility, Emotionally Disturbed Children | 313 Harrill Rd, Forest City, NC 28043 | 2007-11-15 |
| 1255529038 | Respiratory At Home Plus, Corp. | Durable Medical Equipment & Medical Supplies | 338 Withrow Road, Suite D, Forest City, NC 28043 | 2007-10-05 |
| 1821129362 | K D Support Services / Kelly's Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 158 Us Highway 221a, Forest City, NC 28043 | 2007-03-08 |
| 1407986714 | Americas Living Centers LLC | Custodial Care Facility | 128 Country Meadows Lane, Forest City, NC 28043 | 2007-03-06 |
| 1821157256 | Hopewell Care Inc. | Assisted Living Facility | 141 Fox Run, Forest City, NC 28043 | 2006-12-08 |
| Find all providers in zip 28043 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710404421 | Donna Lynn Hewitt | Nurse Practitioner | 249 Oak St, Forest City, NC 28043-3585 | 2017-08-23 |
| 1780107367 | Cynthia Bohacek | Nurse Practitioner | 181 Daniel Rd, Ste A, Forest City, NC 28043-7151 | 2017-07-25 |
| 1922520311 | Beverly Conner | Nurse Practitioner | 136 Sparks Dr, Forest City, NC 28043-9021 | 2017-07-07 |
| 1720515836 | Jessica Koppen | Nurse Practitioner | 635 E Us Highway 9, Forest City, IA 50436-1028 | 2017-05-19 |
| 1043744386 | Julie Curtis Thorn | Nurse Practitioner | 374 Hudlow Rd, Forest City, NC 28043-9444 | 2017-04-13 |
| 1831550177 | Loretta G. Catton | Nurse Practitioner | 181 Daniel Rd, Rutherford Internal Medicine Associates Suite A, Forest City, NC 28043-7151 | 2016-03-15 |
| 1831559434 | Andrea Anglin Morrissey | Nurse Practitioner | 181 Daniel Rd, Suite A, Forest City, NC 28043-7151 | 2016-02-25 |
| 1437518214 | Pamela Skeels | Nurse Practitioner | 181 Daniel Rd, Forest City, NC 28043-7151 | 2016-02-22 |
| 1508247826 | Tami Ford | Nurse Practitioner | 181 Daniel Rd, Forest City, NC 28043-7151 | 2015-06-11 |
| 1609217793 | Ingrid Sandahl | Nurse Practitioner | 181 Daniel Rd, Forest City, NC 28043-7151 | 2013-07-17 |
| Find all providers in FOREST CITY | ||||
| City | FOREST CITY |
| Zip Code | 28043 |
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| 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.