Healthcare Provider Details

I. General information

NPI: 1871878470
Provider Name (Legal Business Name): REX HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2011
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 BLUE RIDGE RD SUITE 201
RALEIGH NC
27607-6478
US

IV. Provider business mailing address

2800 BLUE RIDGE RD STE 201
RALEIGH NC
27607-6477
US

V. Phone/Fax

Practice location:
  • Phone: 919-784-7110
  • Fax: 919-784-7111
Mailing address:
  • Phone: 919-784-7110
  • Fax: 919-784-7111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: MARIA JAYOUSSI
Title or Position: VP FINANCE COMMUNITY PHYSICIANS
Credential:
Phone: 440-476-1713