Healthcare Provider Details

I. General information

NPI: 1497797088
Provider Name (Legal Business Name): REX HOSPITAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 02/20/2023
Certification Date: 02/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4420 LAKE BOONE TRL
RALEIGH NC
27607-7505
US

IV. Provider business mailing address

4420 LAKE BOONE TRL
RALEIGH NC
27607-7505
US

V. Phone/Fax

Practice location:
  • Phone: 919-784-3100
  • Fax: 919-784-3004
Mailing address:
  • Phone: 919-784-3100
  • Fax: 919-784-3004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License NumberH0065 953429
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberH0065 953429
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberH0065 953429
License Number StateNC

VIII. Authorized Official

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