Provider Demographics
NPI:1770582363
Name:REX HOSPITAL, INC
Entity type:Organization
Organization Name:REX HOSPITAL, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
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 1:911 S HUGHES ST
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-7731
Mailing Address - Country:US
Mailing Address - Phone:919-363-6011
Mailing Address - Fax:919-363-6014
Practice Address - Street 1:911 S HUGHES ST
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-7731
Practice Address - Country:US
Practice Address - Phone:919-363-6011
Practice Address - Fax:919-363-6014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNH0594313M00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC340613GMedicaid
NCAN67485140001OtherPARTNERS
NCXXXXXXXX9261OtherAETNA
NC3405508Medicaid
NC009AFOtherBLUE CROSS
NC5615092610003OtherCHAMPUS/TRICARE
NC71-52480OtherUNITED MEDICARE COMPLETE
NC5615609260OtherAMERICAN REPUBLIC
NCAN67485140001OtherPARTNERS
NC340613GMedicaid
NC=========OtherHUMANA
NC71-52480OtherUNITED MEDICARE COMPLETE
NC=========OtherKAISER
NC=========OtherSECURE HORIZONS
NC=========OtherAARP
NC=========OtherMUTUAL OF OMAHA
NC3405508Medicaid
NC=========OtherUNITED HEALTHCARE
NCXXXXXXXX9261OtherAETNA
NC345508Medicare ID - Type Unspecified