Provider Demographics
NPI:1316562374
Name:REX HOSPITAL INC
Entity Type:Organization
Organization Name:REX HOSPITAL INC
Other - Org Name:UNC URGENT CARE AT FUQUAY VARINA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCE COMMUNITY PHYSICIANS
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAYOUSSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-476-1713
Mailing Address - Street 1:1617 N MAIN ST STE 101
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-9021
Mailing Address - Country:US
Mailing Address - Phone:984-215-6595
Mailing Address - Fax:984-215-6596
Practice Address - Street 1:1617 N MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-9021
Practice Address - Country:US
Practice Address - Phone:984-215-6595
Practice Address - Fax:984-215-6596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-15
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty