Organization
PENDER MEMORIAL HOSPITAL, INCORPORATED
Active
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
Mailing address
507 E FREMONT ST, BURGAW, NC 28425-5131
(910) 259-5451
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
H0115
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3496571
—
NC
Enumeration date
03/14/2006
Last updated
09/03/2009
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