Healthcare Provider Details

I. General information

NPI: 1760885321
Provider Name (Legal Business Name): REX HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2014
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11200 GOVERNOR MANLY WAY SUITE 301
RALEIGH NC
27614-8599
US

IV. Provider business mailing address

11200 GOVERNOR MANLY WAY STE 301
RALEIGH NC
27614-7382
US

V. Phone/Fax

Practice location:
  • Phone: 919-570-5900
  • Fax: 919-570-5901
Mailing address:
  • Phone: 919-570-5900
  • Fax: 919-570-5901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

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