Provider Demographics
NPI:1497797088
Name:REX HOSPITAL INC.
Entity Type:Organization
Organization Name:REX HOSPITAL INC.
Other - Org Name:REX HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MATHEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-784-1440
Mailing Address - Street 1:4420 LAKE BOONE TRL
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-7505
Mailing Address - Country:US
Mailing Address - Phone:919-784-3100
Mailing Address - Fax:919-784-3004
Practice Address - Street 1:4420 LAKE BOONE TRL
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-7505
Practice Address - Country:US
Practice Address - Phone:919-784-3100
Practice Address - Fax:919-784-3004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCH0065 953429282N00000X, 315D00000X
NCH0065 953429343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5052479OtherUHC-MEDICARE COMPLETE
NC054585OtherAETNA
NC015A2OtherNC STATE GOV PLAN #
NC3400114Medicaid
NC00459OtherBLUE CROSS IP PROVIDER #
NC00460OtherBLUE CROSS OP PROVIDER #
NC5052479OtherUNITED HEALTH CARE PLAN #
NC910HOSOtherPARTNERS
NC3401140OtherWELLPATH
NC3406898Medicaid
NC00460OtherNC STATE GOV PLAN #
NC015A2OtherBLUE CROSS REHAB PROVIDER
NC227677OtherMAMSI ALLIANCE PPO
NC00459OtherNC STATE GOV PLAN #
NC5052479OtherUNITED HEALTH CARE PLAN #
NC5052479OtherUHC-MEDICARE COMPLETE
NC=========OtherCIGNA HEALTHCARE
NC3400114Medicaid