Organization
PENDER MEMORIAL HOSPITAL, INCORPORATED
Active
Other names
Novant Health Pender Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH ANN GLASER (PRESIDENT)
(910) 259-5451
Entity
Organization
Contact information
Practice address
507 E FREMONT ST, BURGAW, NC 28425-5131
(910) 259-5451
Mailing address
PO BOX 604271, CHARLOTTE, NC 28260-4271
(336) 277-8757
(336) 718-8916
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
H0115
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00420
BCBS PROVIDER #
NC
05
—
3401307
—
NC
Enumeration date
03/08/2006
Last updated
10/07/2024
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