MEDICARE: REX HOSPITAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RX0202X	Medical Oncology Physician
2	207SG0201X	Clinical Genetics (M.D.) Physician
3	207RH0003X	Hematology & Oncology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	017CX	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1942239538
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REX HOSPITAL INC

Provider Business Mailing Address
First Line	:	2901 BLUE RIDGE RD STE 203
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-6423
Country	:	US
Telephone Number	:	919-784-6818
Fax Number	:	919-784-6828

Provider Business Practice Location Address
First Line	:	2901 BLUE RIDGE RD STE 203
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-6423
Country	:	US
Telephone Number	:	919-784-6818
Fax Number	:	919-784-6828

Authorized Official
Title or Position	:	VP FINANCE COMMUNITY PHYSICIANS
Name	:	MARIA JAYOUSSI
Credential	:
Telephone Number	:	440-476-1713

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	01/31/2025

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Directions to “REX HOSPITAL INC ” Practice Location

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