Organization
PENDER MEMORIAL HOSPITAL, INCORPORATED
Active
Other names
Novant Health Pender Medical Center SNF, Novant Health Pender Medical Center SNU
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH ANN GLASER (PRESIDENT)
(910) 300-4004
Entity
Organization
Contact information
Practice address
507 EAST FREMONT STREET, BURGAW, NC 28425-5131
(910) 300-4003
(910) 259-6182
Mailing address
PO BOX 604271, CHARLOTTE, NC 28260-4271
(336) 277-8757
(336) 718-8916
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
H0115
NC
314000000X
Skilled Nursing Facility
Primary
HC0115
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00990
SNF BCBS PROVIDER NUM
NC
05
—
3405245
—
NC
Enumeration date
03/08/2006
Last updated
08/11/2025
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