Healthcare Provider Details

I. General information

NPI: 1821472572
Provider Name (Legal Business Name): REX HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2015
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 LAKE BOONE TRL
RALEIGH NC
27607-6521
US

IV. Provider business mailing address

5221 PARAMOUNT PKWY STE 440
MORRISVILLE NC
27560-5491
US

V. Phone/Fax

Practice location:
  • Phone: 919-784-1371
  • Fax: 919-784-1396
Mailing address:
  • Phone: 984-974-1191
  • Fax: 984-974-1311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name: MR. BENJAMIN JAMES MATHEW
Title or Position: CFO
Credential:
Phone: 919-784-1440