Organization
PENDER MEMORIAL HOSPITAL INCORPORATED
Active
Other names
PENDER MEMORIAL HOSPIAL EKG, Pender Memorial Hospital EKG, Novant Health Pender Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID H. LONG (ADMINISTRATOR/SITE EXECUTIVE OFFICE)
(910) 259-5451
Entity
Organization
Contact information
Practice address
507 E FREMONT ST, BURGAW, NC 28425-5131
(910) 259-5451
(910) 259-7136
Mailing address
507 E FREMONT ST, BURGAW, NC 28425-5131
(910) 259-5451
(910) 259-7136
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
H0115
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8907714
—
NC
05
—
8969959
—
NC
Enumeration date
03/13/2007
Last updated
08/28/2024
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