NPIMap

Organization Active NPI

Frank T Rutherford Memorial Hospital, Inc

Doing business as Riverview Regional Medical Center South

  • Critical Access Hospital
  • Carthage, TN
National Provider Identifier
1801814629
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
0000000129 Issued in TN
Legal business name
FRANK T RUTHERFORD MEMORIAL HOSPITAL, INC
Doing business as
Riverview Regional Medical Center South
Practice address
130 Lebanon Hwy
Carthage, TN 37030-2955
Phone
(615) 735-9815
Fax
(615) 735-3062
NPI assigned
Jul 18, 2006
Last updated
Jul 24, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
FRANK T RUTHERFORD MEMORIAL HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2009

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

Authorized official

Name
Mr. David Wilhoite
Title
Cfo
Phone
(615) 328-6695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 0000000129 TN Primary

Addresses

Primary practice location

130 Lebanon Hwy
Carthage, TN 37030-2955

Mailing address

555 Hartsville Pike
Gallatin, TN 37066-2400
Phone (615) 328-6695

Other identifiers 9

IdentifierTypeStateIssuer
0441307MedicaidTN
01600568MedicaidKY
1000177OtherTNTENNCARE BLUE CROSS
1000177OtherTNBLUE CROSS
1000177OtherTNTENNCARE SELECT
3282272OtherTNMEDICARE ID-TYPE UNSPECIFIED
5000098OtherUNITED HEALTHCARE
A3703300OtherTNTENNCARE AMERI CHOICE
165461900OtherTNUS DEPT OF LABOR WC

Other names 1

  • Riverview Regional Medical Center South Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riverview Reg Med Ctr S LLC4 organizations share this tax ID, including this one
Part of
Carthage General Hospit

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

130 Lebanon Hwy
Carthage, TN 37030
Phone (615) 444-0554

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1801814629",
    "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": "130 LEBANON HWY",
            "city": "CARTHAGE",
            "state": "TN",
            "postal_code": "370302955",
            "telephone_number": "615-735-9815",
            "fax_number": "615-735-3062"
        }
    ],
    "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": "2006-07-18",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "WILHOITE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-328-6695",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "TN",
            "license": "0000000129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0441307",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01600568",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE BLUE CROSS",
            "identifier": "1000177",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1000177",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE SELECT",
            "identifier": "1000177",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "3282272",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5000098",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE AMERI CHOICE",
            "identifier": "A3703300",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR WC",
            "identifier": "165461900",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverview Regional Medical Center South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carthage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.