Organization
REX HOSPITAL INC.
Active
Other names
Rex Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN JAMES MATHEW (CFO)
(919) 784-1440
Entity
Organization
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
(919) 784-3004
Mailing address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
(919) 784-3004
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H0065 953429
NC
315D00000X
Inpatient Hospice
H0065 953429
NC
343900000X
Non-emergency Medical Transport (VAN)
H0065 953429
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00459
BLUE CROSS IP PROVIDER #
NC
01
—
00460
BLUE CROSS OP PROVIDER #
NC
01
—
015A2
NC STATE GOV PLAN #
NC
01
—
054585
AETNA
NC
01
—
227677
MAMSI ALLIANCE PPO
NC
05
—
3400114
—
NC
01
—
3401140
WELLPATH
NC
05
—
3406898
—
NC
01
—
5052479
UHC-MEDICARE COMPLETE
NC
01
—
910HOS
PARTNERS
NC
Enumeration date
06/11/2006
Last updated
02/20/2023
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