Organization
NORTH CAROLINA REGIONAL NETWORK
Active
Other names
Rutherford Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MARK AYCOCK (EXECUTIVE VICE PRESIDENT)
(864) 560-6000
Entity
Organization
Contact information
Practice address
444 NC HIGHWAY 108, RUTHERFORDTON, NC 28139-7871
(828) 286-2302
(828) 287-4320
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2343808
—
NC
05
—
790250Y
—
NC
01
—
CK6810
RAIL ROAD MEDICARE
NC
01
—
CN1627
RR MEDICARE
SC
Enumeration date
10/24/2006
Last updated
08/24/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us