| Rutherford East Family Care | |
|
605 N C 120 Highway Mooresboro NC 28114-6713 | |
| (828) 453-0703 | |
| (828) 453-0835 |
| Full Name | Rutherford East Family Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 605 N C 120 Highway, Mooresboro, North Carolina |
| Authorized Official Name and Position | David M. Bixler (PRESIDENT & CEO) |
| Authorized Official Contact | 8282865000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rutherford East Family Care 605 N C 120 Highway Mooresboro NC 28114-6713 Ph: (828) 453-0703 | Rutherford East Family Care 605 N C 120 Highway Mooresboro NC 28114-6713 Ph: (828) 453-0703 |
| NPI Number | 1821191875 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 07/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821191875 | NPI | - | NPPES |
| 0251G | Other | NC | BCBS |
| 890251G | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Rutherford East Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 605 Nc 120 Hwy, Mooresboro, NC 28114 Phone: 828-453-0703 Fax: 828-453-8035 |