Organization
PENDER MEMORIAL HOSPITAL, INC
Active
Parent organization
PENDER MEMORIAL HOSPITAL, INC
Other names
Pender Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENDER MEMORIAL HOSPITAL, INC
Authorized official
MR. DAVID LONG SEO (SITE EXECUTIVE OFFICER)
(910) 259-5451
Entity
Organization
Contact information
Practice address
507 E FREMONT ST, BURGAW, NC 28425-5131
(910) 259-5451
Mailing address
507 E FREMONT ST, BURGAW, NC 28425-5131
(910) 259-5451
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC0532
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070N
BCBS NC PROVIDER NUMBER
NC
05
—
3417065
—
NC
Enumeration date
03/06/2006
Last updated
01/10/2008
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