Healthcare Provider Details
I. General information
NPI: 1578201521
Provider Name (Legal Business Name): REX HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/20/2022
Last Update Date: 05/20/2022
Certification Date: 05/20/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4207 LAKE BOONE TRL STE 100
RALEIGH NC
27607-6685
US
IV. Provider business mailing address
5221 PARAMOUNT PKWY STE 420
MORRISVILLE NC
27560-5491
US
V. Phone/Fax
- Phone: 919-784-1410
- Fax: 919-784-1409
- Phone: 984-974-1256
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MEGHAN
ELIZABETH
HOOLEY
Title or Position: DIRECTOR OF CORPORATE FINANCE
Credential:
Phone: 919-784-7711