1760885321 NPI number — REX HOSPITAL INC

Table of content: (NPI 1760885321)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760885321 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:
REX EAR NOSE & THROAT SPECIALISTS AT WAKEFIELD
Provider Other Organization Name Type Code:
3
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:
1760885321
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/10/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11200 GOVERNOR MANLY WAY STE 301
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:
27614-7382
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-570-5900
Provider Business Mailing Address Fax Number:
919-570-5901

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11200 GOVERNOR MANLY WAY
Provider Second Line Business Practice Location Address:
SUITE 301
Provider Business Practice Location Address City Name:
RALEIGH
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27614-8599
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-570-5900
Provider Business Practice Location Address Fax Number:
919-570-5901
Provider Enumeration Date:
09/26/2014

Additional Information

Authorized Official

Authorized Official Last Name:
JAYOUSSI
Authorized Official First Name:
MARIA
Authorized Official Middle Name:
Authorized Official Title or Position:
VP FINANCE COMMUNITY PHYSICIANS
Authorized Official Telephone Number:
440-476-1713

Provider Taxonomy Codes

  • Taxonomy code: 207Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 231H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 237600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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