1497797088 NPI number — REX HOSPITAL INC.

Table of content: (NPI 1497797088)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497797088 NPI number — REX HOSPITAL INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REX HOSPITAL INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497797088
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/20/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4420 LAKE BOONE TRL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RALEIGH
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27607-7505
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-784-3100
Provider Business Mailing Address Fax Number:
919-784-3004

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4420 LAKE BOONE TRL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RALEIGH
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27607-7505
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-784-3100
Provider Business Practice Location Address Fax Number:
919-784-3004
Provider Enumeration Date:
06/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MATHEW
Authorized Official First Name:
BENJAMIN
Authorized Official Middle Name:
JAMES
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
919-784-1440

Provider Taxonomy Codes

  • Taxonomy code: 315D00000X , with the licence number:  H0065 953429 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 343900000X , with the licence number: H0065 953429 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X , with the licence number: H0065 953429 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5052479 . This is a "UHC-MEDICARE COMPLETE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 054585 . This is a "AETNA" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 015A2 . This is a "NC STATE GOV PLAN #" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 3400114 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00459 . This is a "BLUE CROSS IP PROVIDER #" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 00460 . This is a "BLUE CROSS OP PROVIDER #" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 5052479 . This is a "UNITED HEALTH CARE PLAN #" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 910HOS . This is a "PARTNERS" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 3401140 . This is a "WELLPATH" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 3406898 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00460 . This is a "NC STATE GOV PLAN #" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 015A2 . This is a "BLUE CROSS REHAB PROVIDER" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 227677 . This is a "MAMSI ALLIANCE PPO" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 00459 . This is a "NC STATE GOV PLAN #" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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