Frank T Rutherford Memorial Hospital, Inc

Primary specialty

Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X

License

0000000129 Issued in TN

Legal business name

FRANK T RUTHERFORD MEMORIAL HOSPITAL, INC

Doing business as

Gordonsville Clinic

Practice address

126 JMZ Dr
Gordonsville, TN 38563-2152

Phone

(615) 683-1072

NPI assigned

May 18, 2007

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

FRANK T RUTHERFORD MEMORIAL HOSPITAL, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Lynn Norvell

Title

Cfo

Phone

(615) 328-6695

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Gordonsville Clinic Doing business as

Part of

Carthage General Hospit

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1376751099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 HARTSVILLE PIKE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662400",
            "telephone_number": "615-328-6695",
            "fax_number": "615-328-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 JMZ DR",
            "city": "GORDONSVILLE",
            "state": "TN",
            "postal_code": "385632152",
            "telephone_number": "615-683-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK T RUTHERFORD MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANK T RUTHERFORD MEMORIAL HOSPITAL, INC",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "NORVELL",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-328-6695",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "TN",
            "license": "0000000129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A3703300",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1000177",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0441307",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gordonsville Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Dee Cripps, APN
• Cumberland Pediatric Associates PC
• Drayer Physical Therapy Institute LLC
• Drayer Physical Therapy of Tennessee LLC
• Amy Manning Dudney, PHARMD
• Gordonsville Clinic
• Gordonsville Drugs, Inc
• Kimberly D Gregory, MSN, FNP-BC
• Hannah Kate Harel, RDH
• Keith Regen Hill, MD

• Clinic/Center in Gordonsville, TN
• Providers in Gordonsville, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.