# FRANK T RUTHERFORD MEMORIAL HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FRANK T RUTHERFORD MEMORIAL HOSPITAL, INC
- **Other names:** Gordonsville Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376751099
- **Legal business name:** FRANK T RUTHERFORD MEMORIAL HOSPITAL, INC
- **Authorized official:** MR. LYNN NORVELL (CFO)
- **Authorized official phone:** (615) 328-6695

## Contact information

- **Practice address:** 126 JMZ DR, GORDONSVILLE, TN 38563-2152
- **Practice address phone:** (615) 683-1072
- **Mailing address:** 555 HARTSVILLE PIKE, GALLATIN, TN 37066-2400
- **Mailing address phone:** (615) 328-6695
- **Mailing address fax:** (615) 328-6698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC0050X | Critical Access Hospital Clinic/Center | 0000000129 | TN | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0441307 | — | TN |
| 01 | — | 1000177 | BLUE CROSS | TN |
| 05 | — | A3703300 | — | TN |